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lsll UO 14 (ItLV 5194) SAN ,IOAQUIN COUNTY <br />PUIILIC HEALTH SERVICES I <br />LNVIRONMEN'I'AL 111;AL'1'11 DIVISION <br />PUIILIC RECORDS RELEASE APPLICATION <br />APPLICAN"I' n l v PiIONII NO�j�/,`��✓G -CJ GL% <br />ADDRESS / �G' Cv- S %l�c,r• �" CISH" G <br />AGENCY NAMII U ' PIIONII NO O`)) G <br />ADDRESS <br />17ILE AQDRL SS <br />r. <br />-.-Fr n cam— 7 r, <br />LEAD AGENCY <br />t/ 010 <br />DKI7 <br />1� l <br />•1IIIS NOTICE IS SUOJECI '1'O I'1113 ItEQU1REMCN'I:S IDENT'IFICD IN '1'11C PUBLIC IICALIII <br />SIiRVICCCC <br />S/NVIltONMN-1'AL IIEAL 'll DIVISION (CIID) POLICY N94-001, ORDINANCE CODG OF SAN <br />JOAQUIN COUNTY, EI11) FEES AND SCRVICI3 CHARGE RESOLU'('IONS, STATE WATER CODE, <br />COV1311NMENT CODE AND '11111 EVIDENCE CODI3. <br />A MAXINIUM OP TCN (10) PREMISE ADDRESSES i'L•R RrQut:sl.. <br />2. PUBLIC rILCS/RECOItDS REVIEW Is EY APPOINTMEN1 ONLY. APPOINrMCNTS ARE AltRANUCD EY <br />CALIANG (209)46"340. OrrICE IIOURS FOR APPOINTMENTS ARR SCIICDULED MONDAY TIIRU FRIDAY <br />EXCLUDING (IOLIDAYS, 8:00 AM -1'0 12:00 NOON AND I:oo PM'ro 4:30 PM. <br />3. A I'UIILIC RECORDS RELEASE APPLICATION (PRRA) IS RCQUIRED. <br />4. PUBLIC rILCS/ItECORDS NO'r RRrURNCD IN 'rilC SAME CONOtrION As RCCCIVED WILL EE CORRECIP0 <br />CY "I "TIE OID s'rnrl+ WHIP RXPENSR OF llin APPLICANT. THIS ADDtrIoNAL SERVICE WILL ER nILLCD TO VIP. <br />APPLICANT POR PAYMCNr. (SCR CIID POLICY 94-007) <br />5. ORIGINAL PUELIC FILESIRECOR StIALL NOT' ER RC OVCU FROM T'l1E END I'RCMIsCs. <br />SIGNATURE or APPLICANT 7 Sw DATE <br />11A•rr <br />i1CNATVKIi VI' ItLLOnmrvv vrrlwaa. <br />NO PH$/EIID ItECORU9/I'lIJ.4 Alto IDEN'rWIrI)! IMn MamM Ilam, <br />Ua,a, aavmvnn an <br />PIIS/E1-1D RECORDS/FILES EXIST' ON TIM ADDRESSES) motED. YOU WILL EE NOTTrIED WHEN <br />Itr•.CuRI)S/rl Ll'S ARE AVAILARI,t? FOR REVIEW: KM aro IIAM <br />IM'"! R"...,: <br />