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09--12-1994 02111PM R01 TL 4425061 P.02 <br /> EH 00 14 (REV SPM SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> j ENVIRONMENTAL HEALTH DIVISION <br /> / PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Gtlrk ?�-a&OA) PHONE NO �:�-y8G -O Fsd <br /> ADDRESS (9�S s7 a6svO Ga 43ao� <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> I <br /> FILE AyJjRm LLQASSE (a DATE <br /> f r ` <br /> rcs- 6A <br /> 1Cb u967- I4(nt Plry TzAc"Z <br /> #,D6 Is.e - <br /> 'Ibyicy ori P,>^ �L.J G�dBe aF MAC ARrY t)L rVp+.Rco fA <br /> S, PEON Co. SToc. raN QO E. �+ <br /> I <br /> i <br /> IRIS NO"II IS SUB7E cr TO THE REQUIRLMENTS IDENTIFIED IN THE PUHIIC HEALTH <br /> SFR V ICES(Eq VIRONMENTAL.HPALTH DIVISION(END)POLICY#94-007,ORDINANCE CODES OF SAN <br /> JOAQUIN CQUNTY, END FEF_9 AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT <br /> I <br /> F_INTCODE AND THE EVIDENCE CODE. <br /> I. A M.�NM OP T£N (IO) PREMISE ADDRESSES PER REQUEST. <br /> 2. FVDL FILEWRECURDS REVIEW IS BY APPOINTIA)aI'TI'QNLY� APPOIN'MUM ARE ARRANUPD BY <br /> CALLING (209W9-0340. QFFICR HOURS FOR APPOINTMENT3 ARE 3CHEDVLED MONDAT THRU FRIDAY <br /> EXCLUDING HOLIDAYS, 5:00 AM TO 17-OO NOON AND I!00 PM TO 4:90 PIE. <br /> 3. A P16LIC RECORDS RELEASE APPLICATION (PRRA) 15 REQU161). <br /> 4. PUB FELJ3.S/RECORDS NOT RETURNED IN THE SAME CONDITION Al RECEIVED WILL DB CORRP.CTSO <br /> BY TIM END, AFP AT THE EXPENSE OF THE APPucAFr. Das ADDRPONAL smvECE wILL RE BH I rn TO THE <br /> ArFUCAffr Pod( PAYMRNr. (SEE END POLICY 94007) <br /> 5. ORIOMAL PUBLIC MLESIP FCORDS SHALL NOT RE REMOVED FROM IRE END PREMISES. <br /> SIGNATURE QP APPLICANT DATE <br /> SIGNATURE Il_F RELFASINO OFFICIAL DATE <br /> No PHS/I•�REcoRIIS(Fuo ARE wifnFiEtr <br /> o„w Rwa�'m rry N�RIM <br /> PHS/END RaacORD3JFRES Oran ON THE ADDUM(Es)NorRD_ YOU wILL a¢Nonilim WHEN <br /> RECOR"FlLTS ARE AVAILABLE FOR RE71EW: <br /> [Lm Mwo�m NemF iif bis <br />