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Gl-GJ 1JTJ 'r•..a i i r ..u.. i.. uc...i u ....�.........��. ...... .� __ .__ _ <br /> '1rr�itse <br /> Ell OU 14 (REV 519•, SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SURVICFS <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1'L)BLiC RECORDS RELLASE APPLICATION <br /> APPLICANT (n41i, 15enA .PHONE NO <br /> ADDRESS <br /> AGENCY NAIVE )Kna-Ziar, PHONE NO ( - <br /> ADDRESS ' '� CpimrnPrce. OX �,�Lb rte- gtG )c5 <br /> FILB ADDRESS IAA AEN 12AR <br /> In7 5 k i �Soyi S��_ <br /> 44ID Al As ,V- cA <br /> 9Lt`i� � . Fj-P rrv.rt�y_ <br /> i <br /> THIS NOTICE 15 SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE UC. HVALTH_ <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POUCY A94-OU7, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END, FM AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAximuM OF TEN (t1)) PRFJUISE ADDRESSES PFA REQUESr. <br /> 2 Pusuc FILES/RECORDS REVIEW is By APPOINTMENT ONLY, APPoiNTMIRM ARE ARRANaED BY <br /> CALLING (209)468-0340. OFMCE 11OURS I-OR APPORITMENT9 ARE SCIWOULM M014DAT TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:90 AM to 12:00 NOON AND 1:00 I'M To 4:30 PM. <br /> 3_ A Meuc REcoRDs "tame APPucAvoia (PRRA) Is REQu"O. <br /> 4. PUBLIC FILE-WRECORDS NOT RETURNED IN niE SAME CONDITION As R=-IVeD WILL BE CORRECTED <br /> ET THE EHD STAFF AT nle ,EXPENSE OF THE APPLICAI+T. TNtS ADDITIONAL SERVICE wILL BE BILItD TO THE <br /> APPUCAHT FOR PATAIEHT. (SEE EHD POLICT 94-00'» <br /> S. - ORIOBIAL PUBI IC FILES/RECORDS SHALL NUT Be KWOVED FROM TIaE m4D PRFMISFB. , <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELPASINK;OFTICIAL DA'L'E <br /> No PHSIE1113 RECORDS/FILP.S ARE IOENTIPIED: <br /> m,e uti.e.., wnwa,no„fL,c <br /> PHS/EHD REcoRDs/FiLm 6xm OH nia Ammcss(rs)NoM. You WILL Be NoTTFFSD wuliN <br /> RrMRDS/FILE9 .UIS ATAIEABLt POE REy16F: <br />