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SIGNATURE OF APPLICAN Pt/ DATE <br />Fr- LA JL,,,,solfecrE r 1 SIGNATURE OF RELEASING OFFICIAL' 00 <br />EH 00 14 (REV 9/96) <br />CI41451,' <br />" 23 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT 3-UM( rui- 1ij2 PHONE NO( C1)41Z---/-TOO <br />ADDRESS Z-Z -L iw OD .->f-1) 1-6;r1 C,kr QS-Z.2)4 <br />AGENCY NAME ."-{,T1 ne,/ I Pig tor iruck_ Ci), PHONE NO <br />ADDRESS Z Kon wag ,S7-760-71/7 <br />***k************************************************************* <br />FULL ADDRESS BUSINESS NAMEZ <br />FACILITY <br />PROGRAM OR <br />TYPE OF FILE <br /> <br />2 i ith )6v y_ <br />ho t al q Z06 <br />Vto <br /> <br />Conall Pith/ In/6/6 (13'4'ex) <br />or <br />(Alt/v{1110 jeacor) 1`110) <br />c6C( <br />)Q v'el 1 1 (3)-- • <br />(717 - <br />****k************************************************************ <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF <br />SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST <br />PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br />ED BY CALLING 12091468-3420. 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 />A PUBLIC FILES/RECORDS RELEASE APPLICATION 1PRRAI IS REQUIRED. <br />PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE EHD STAFF AT THE EXPENSE OF•THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT (SEE EHD POLICY 94- 007) <br />ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES.