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Ell OU 14 (REV 56..r SAN ,IOAQUIN COUNT-., <br /> l'Ulll,1C SIL"Al;l'll SI"sRVIC1T-S <br /> ENVIRONNIENTA1, HEAU111 DIVISION <br /> PUBLIC ItECOlWS RELEASE APPLICATION <br /> b� 11 IL)^ PHONE NO <br /> APPLICANT' � �a 1- <br /> ADDRESS <br /> AGENCY NAME /C/Ll 1 uil d n55 vL I'� ! PHONE NO <br /> ADDRESS <br /> 'FILE ADDRESS LEAD AGENCY DATE <br /> C, £ T ,IL, I I <br /> vl I Lce / £!t Zr- <br /> 1r f & <br /> P' ,I ,J ��I�Iu...✓ 1c�A <br /> ysv L N z i Dori ,�. cl l Il-1� C� 1-iv,iw <br /> 1014NL1 /J� a � y Sile � l75�• /- <~ <br /> TIIIS NOTICE IS SUBJECT 'i0 TIIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEACfH <br /> SERVICF"S/ENVIRONMI--,N'I'AL IIEALTII DIVISION (E11D) POLICY N94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EMD FEES AND SERVICE CHARGE RESOLUTIONS, SPATE WATER CODE, <br /> GOVL"RNMENT CODE ANDTHE EVIDENCE CODE. <br /> I. A MAXIMUM OP TFN (10) PREMISE ADDRESSES PER REQUml'. <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOIN'T'MENT ONLY. A19OINTMFNI"S ARE ARRANOFD BY <br /> CAIJJNG (209)468-0340. OFFICE IIOIIRS FOR Al'IY)IN7'MF14TS ARF SCIIT:DULFD MONDAY TIIRU FRIDAY <br /> EXCLUDING IIOUDAYS, 8:00 AM TO 12:W NOON AND 1.00 1'M To 4:30 PP.1. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (1111RA) IS REQUIRL•D. <br /> 4. PUBLIC PILES/RECORDS NOT RIiTURNIiD IN THE SAME CONDITION AS RFCIiIVii ) WILL 01: CURRECIFD <br /> BY TIIE EMD STAFF AT THE FXPENSIS OF TIIE APPLICANT. TIIIS ADDITIONAL SERVICE WILL HE BILLED TO THE <br /> APP'LICAN'T FOR PAYMENT. (SEE EIID POLICY 94-007) ' <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM TIIE EIID I'REMISIS. , <br /> SIGNATURE OF API'LICAN/ �7' DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE- <br /> No <br /> 1'I-IS/EIID RECORDS/FILES ARE IDEN'T'IFIED: <br /> I,.m: X..."? Nmn .B.m: <br /> PIIS/EIID RECORDS/FILES EXIST ON THE ADORISS(GS) NOTED. YOU \SILL HE NO]IF1ED WHEN <br /> RECORDS/FILE-S ARE AVAILABLE FOR REVIEW: <br /> Ilam: Mmmwnn nn N,mmruv«Untne <br />