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Ell UO 14 (REV 5194) SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICFS <br />ENVIRONMF.N•I'AL IIEALTII DIVISION <br />PUBLIC RECORDS ItEILEASE APPLICATION �L . <br />APPLICANT 60hq� PHONH Nd <br />AGPNCY NAME �[ uZ G'> Sac /c.�e j pl pNE NO <br />THIS NOTICE IS SU0)ECT TO THE REQUIREMENTS IDENTIFIED IN TILE PUBLIC HEALTH <br />SERVICE.VENVIRONMENTAL HEALTH DIVISION MUD) POUCY #94-007, ORDINANCE CODE OP SAN <br />JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTTOiJs, STATE wATERjICODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />i <br />I. A MAXIMUM OF TEN (IO) PREML99 ADDRESSES PER REQUEaS'T. <br />I I <br />2. PUBLIC FILES/RECORDS Rr3ViEW Is BY APPOINTMENT ONLY. APPOINTMENTS AAIB ARAAjGRD BY <br />CALLING (209)468-0340. OFFICE stouts FOA APPOINTMENTS ARK SCIIHDULEO MONDAY TIIRUI!FRIDAY <br />EXCLUDING HOLIDAYS, 8:00 Am TO 12:OU NOON AND 1:00 PM TO 4:31) PM. <br />3. A PUBuc RBcORns Ra.EAsB APPUCATION (PRRA) IS REQU1RSO. <br />4_ PUBLIC FILE.S/RECORDS NOT RETURNED IN MIS SAME CONDITION AS "CStVED WILL OR cORRficmD <br />BY TnE EHD STAFF AT TIIB E,-9439 OF THE APPLICANT, MIM ADDITIONAL SERVICE WILL BB BILLED -TO TAE <br />APPLICANT FOR PAYMENT. (SEB END Pot -icy 94-007) <br />5. ORIGINAL PUBLIC FILES/RECORDS SHALL Nor BE REMOVED FRO161 THE EHD PREMISES. <br />SIGNATURE OF APPLICANT <br />SIGNATURS OF RELEASING OFFICIAL <br />NO PHSIEHD RECORDSJFILES ARE IDENTIFIED: <br />N+ l w.e m �mm <br />DATE <br />DATE <br />PHSIEHD RECORDs/FILES KIST ON T118 ADDRESS(ES) Nargo. YOU WILL BY NOTIFIHD WIIEN <br />RECDRD.gF1LKS ARL AVAILASIE FOR REVILW' <br />I AGENCY <br />DATE il <br />FILE ADDRF>S$ <br />.RAD <br />.i <br />.SCJ 9w,f <br />'"4TI Cin �n C.Is�- <br />7'�7-YY <br />t1RJ{ i <br />t �O/A' v <br />94711+ (^MI4•.ti. L1 a 2.. <br />7-+3`.�yy <br />15 N <br />yon !-tel <br />I <br />I <br />I I <br />THIS NOTICE IS SU0)ECT TO THE REQUIREMENTS IDENTIFIED IN TILE PUBLIC HEALTH <br />SERVICE.VENVIRONMENTAL HEALTH DIVISION MUD) POUCY #94-007, ORDINANCE CODE OP SAN <br />JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTTOiJs, STATE wATERjICODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />i <br />I. A MAXIMUM OF TEN (IO) PREML99 ADDRESSES PER REQUEaS'T. <br />I I <br />2. PUBLIC FILES/RECORDS Rr3ViEW Is BY APPOINTMENT ONLY. APPOINTMENTS AAIB ARAAjGRD BY <br />CALLING (209)468-0340. OFFICE stouts FOA APPOINTMENTS ARK SCIIHDULEO MONDAY TIIRUI!FRIDAY <br />EXCLUDING HOLIDAYS, 8:00 Am TO 12:OU NOON AND 1:00 PM TO 4:31) PM. <br />3. A PUBuc RBcORns Ra.EAsB APPUCATION (PRRA) IS REQU1RSO. <br />4_ PUBLIC FILE.S/RECORDS NOT RETURNED IN MIS SAME CONDITION AS "CStVED WILL OR cORRficmD <br />BY TnE EHD STAFF AT TIIB E,-9439 OF THE APPLICANT, MIM ADDITIONAL SERVICE WILL BB BILLED -TO TAE <br />APPLICANT FOR PAYMENT. (SEB END Pot -icy 94-007) <br />5. ORIGINAL PUBLIC FILES/RECORDS SHALL Nor BE REMOVED FRO161 THE EHD PREMISES. <br />SIGNATURE OF APPLICANT <br />SIGNATURS OF RELEASING OFFICIAL <br />NO PHSIEHD RECORDSJFILES ARE IDENTIFIED: <br />N+ l w.e m �mm <br />DATE <br />DATE <br />PHSIEHD RECORDs/FILES KIST ON T118 ADDRESS(ES) Nargo. YOU WILL BY NOTIFIHD WIIEN <br />RECDRD.gF1LKS ARL AVAILASIE FOR REVILW' <br />