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•AN JOAQUIN COUNTY ! 120 . �e <br /> PUBLIC HEALTH SERVICES L{-- <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT YLla PHONE NO <br /> ADDRESS E • r t S I <br /> AGENCY NAN n' PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> )5-7_?5 N4-er4,n Pass L-LA5 Jf o. <br /> Z55o � �.He�m Nc�ss R • _ (� . �� <br /> 257c)5 <br /> 5c.hk -4l / c:+-e.-s&n Pa lr� <br /> THIS NOTICE IS SUBJECT TO TEE 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 /> GOVERNIYMNT CODE AND THE EVIDENCE CODE. <br /> 1. A MAUUKUM OF TEN (10) PREMLME ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPo TmENLS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOQiTtAENTS ARE SCHEDULED MONDAY THRU FRIDAY <br /> EXCLUDING HOLIDAYS, 5:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQuwD. <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. THIS 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 FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE I'IS-`TIS <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> 11 NO PHS/EHD RECORDS/FB.ES ARE IDENTIFIED: <br /> DAM: Ra m Nm Mu DAM: <br /> PHS/F-ID RECORDS/FII.ES EXIST ON THE ADDRESS(FS) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DAM: Rcvuw®m Nmmunae1 DAM: <br /> 0014 (REV 5/94) <br />