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U-) ci,>+.)CI 00 � (REV '5 94) SAN JOAQUIN COUNTY <br /> -ZqD <br /> U13I,IC HEALTH SERVICES �� <br /> t ENVIRONMENTAL HEALTH TIMSIDN <br /> PUBLIC RECORDS RELEASE APPLICATION - <br /> '� <br /> Da!'n �! PHONE NO <br /> APPLIC , <br /> «ADD 5 D 7 E' r-o�-P L <br /> AGENC� NAME5 S-pjFYfl9r- .q .17v /fl&V-tL PHONE NO• <br /> ADDRESS --e .I ASly cza,p-snYa <br /> PILE ADIDMS. LEAD AGENCY DATE <br /> ® '�.ij� t10 S S .�. L.c�at [ <br /> -f kd {vc <br /> C oo ��r. <br /> d ,{, <br /> GJD� <br /> v -e 3•-7 <br /> i, Calc f ,,a <br /> THIS N01-ICE 1S SUWEGT TO THE REQUIREMENTS IDENTIFIED IN THE VU13UC HEALTI4 <br /> SERVICES�'UN,VIRONMENTAL HEALTH DIVISION(EHD)POUICY iF94-4071 ORDINANCE CODE OP SAN <br /> JOAQUIN COUNTY, -EHD PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, a <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (IO) PREMISE A001110369 PER RJ!gU Tr. <br /> i 2. PII,BLIC FILES/RECORDS REVIEW IS BY.APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLINCI : (200468-0340. OFFICE IIOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRu FRIDAY <br /> P-XCLUD114G HOLIDAYS, 8:00 AM Td 12:00 NOON AND 11.00 PM TO 4:30 Pn1. <br /> 3. A f'us'uc REcolms RELIZASa APPLICATION (PItRA) IS REQUIRED.— <br /> d. Pu�LIC CILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECElvfila WILL bili CORRECI'E:b I <br /> gY TIIB ERD STAFF AT THE EXPENSE OF TALE; APPLICANT. I)I1S ADDITIONAL.SERVICE WILL BE BILLED TO THE I <br /> APPLICANT' KIPAirmEw. (SEE EHD POLI& 94-007) <br /> S. 0010INAL PUBLIC FILM/RECORDS SHAL N0T.6E REMOVED FROM THE EHD PREMISI=B. <br /> SIGNATURE OF APPLICANT DATr- t J <br /> SIGNATURE OF RELEASING OFFICIAL l ! DATE <br /> NO PHS/ I-II) RB60RDS/1711.0 AR$ IDENTIFIED: # <br /> atrwawroe ats NQMD%TTUf+(MTV <br /> PHS/914T RECORvs/FILBS EXIST ON TIIB ADDRE85(E5) Numb. Y00 WILL BE NOTIFIED WIIEN <br /> RF:CORiD FIljR.3 ARE AVAILABLE FOR REVIEW: <br /> Dnrgr flv�efvRtr yrs KMVW.ATfen DAMP if <br /> TE TPL P.02 -. <br /> _ 1 4 <br />