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_09/03/00 WED 19:50 FAX 925 25098 basics environmental X10 <br /> I <br /> SEP 0 4 2003 <br /> I:NVIRONMENT "EALTH SM JOAQUIN' COUNTY0FRMIT'SER ICE$ PUBLIC HEALTH SERVICES <br /> I ENVIRONMENTAL HEALTH DIVISION J <br /> PUELIC RECORDS RELEASE APPLICATION 44 <br /> App $CANT <br /> Basics Environmental PxoNt3 NO TEL 925-258-9099 <br /> ADD RSS„P116 cAlorictta outer Ind a APHO <br /> AGE CY NAME PFIQIVE NO <br /> ADD SS <br /> i <br /> FULL ARDRESS BUSINESS PRQQR M Q% <br /> FACILX'L'Y_ TYPE OP FILE <br /> V 3421 Chrisman Road Gas Station JjaZMa1/TI4T <br /> 0�i <br /> a m <br /> — A <br /> I •� ----�-err", <br /> ##+ *k*�*�yrerfetikicYrvr***xvr•k�c*,t* kyww��k*�*�3�t*7k**#:k## kw+3t-ii:k*l6ie�kx�rik <br /> THIS NOTICE.IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SER ICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY #94-007, ORDINANCE CODE PF <br /> SAN POAQUiN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. AI MAXIMUM OF 3]�N(110) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW 15 BY APPOINTM ONLY.. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2094468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4;30 PM- <br /> 3. A PUBLIC RELEASE APPLICATION (PRRA) IS REQUIRED, <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL. BE <br /> COR ECTED BY THE-EHD STAFF AT THE.EXPENSF OF THE APPLICANT. THIS ADDITIONAL <br /> SER ICE WILL BE 13ILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORWIIGINAL PUBLIC FILES/RErn S SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> e.. I....Oeea.......es ewa�ref.case......®Ae4dotew+a see. aw®e®e e.•®• <br /> SIGNf TURE OF APPLICAN. ra DATE 9/3/03 <br /> SIGNkTURE OF RELEASING OFFICIA DATE <br /> EH 00 14 lREV 9/96) <br /> TOTAL. P.OP <br />