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EII 00 14 (ILEV 50 SAN JOAQUIN COUN710 jj �Ut q$--f Z <br /> PUBLIC IIEAIAII SERVICES <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Anne, lrpe'l PHONE NO zf-v l <br /> ADDRESS Z EYn h( t,Q ad(uni Cpl�r, 'E 1 JI't y 3?D, 'E1.LLF1711yib(o, (� 9/4 1 I <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> ul P ( 5 c . u e l Ertl' L <br /> OL ; - z5 <br /> �� <: nil <br /> akar (Jb <br /> r <br /> 2-7 0 0 ru+ n r <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 SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OF•FICB IIOURs FOR APPOINTMENTS ARE SCIIEDULFD MONDAY THRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPUCATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED •ROM THE EHD PREMISES. — <br /> SIGNATURE OF APPLICANT L(2C j)),1f �C F <br /> SIGNATURE OF RELEASING OFPI IAL DATE <br /> NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> M) : RPVIMVl10 m N011.G DMA: ` <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRFSS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DArn: RAVIngAo m NVRfIGT DAM <br />