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APPLICAN'[' <br />AGENCY <br />ADDRESS <br />1 nr�rr ,., w.�r_ , ..�.•-n.+�.w �..1-mow.-..+rv. <br />BAN JOAQUIN COUN'CY <br />PURI'r.0 REA1:1'11 Sg1RVf.C15S <br />ENV.IRONMBN'PAI, II15AL'PII DIVISION <br />PIIHr,IC RECORDS RELEASE APPLICATION <br />PIIONC NO_ 209) 952-626-1 <br />1444*LI*►##4#Y+##+}M#}#*4+i44*ik}*#*#**'k*k*#4'+#+##R####+###++#### <br />FULL 11DUR�'r-moi <br />glugINEss-y-PL <br />FAC LI�1'Y <br />640 N. El Dorado Street Gene q&bbaxA Tlie <br />!'ROGRAM OR <br />Tay OF FILE <br />*k4k****kk*k}kk#ikkk*kk#*#k***#k*k*k*4k k*i*******ii k****+*kk*#A*4 <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IOENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICY 1994-007, ORDINANCE CODE OF <br />SAN JOAOUIN COUNTY, CHI) FEE AND SERVICE CHAI;GE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1.`A MAXIMUM OF IEN 1UP PREMISE ADDRESSES PER REQUEST <br />z. PUBLIC FILESIRECOROS REVIEW IS BY APP.QINTMENT Of15Y_ APPUINTMENTS ARE PROCESS- <br />ED OY CALLING 1709)480-3420. OFFICE HpURS FOIL APPOINTMENTS ARE SCHEDULED MONDAY <br />TIIRU FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM' <br />3- A PUBLIC FILEStRECORDS RELEASE APPLICATION IPRRA) IS REQUIRED, <br />4. PUBLIC FILESMECORDS NOT tiETURNED IN111E SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE EIAD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL of! BILLED TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94- 0071 <br />S. ORIGINAL PUBLIC FILESI"ECORDS SHALL NOT BE REMOVED FROM THE E140 PREMISES. <br />.........4,,....,....••#,........ <br />SIGNATURE OF APPLICANT,J <br />SIGNATURE OF RELEASING <br />Eil 00 14 (REV 919B1 <br />.............................. . <br />_Ai I /^ DATE^C5 /^S.'9Q <br />v 1/' �1, 01 M&✓ Il F XIAT1 <br />