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Ell 00 14 (1tEV 5/94) SAN JOAQUIN COUN'T'Y y <br /> PUBLIC HEAL'III SERVICI'sS <br /> ENVIRONMENTAL HEALTH DIVISION 4t&Iuk <br /> 3 `I <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT S/9/(p PHONE NO `fit f S96'S9ob <br /> ADDItFSS 1 �yl� �'% ,fJ /�iR/91C,2'1SY�— <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> =,111 N "arc, ST t± <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 /> L 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. OFFICE IIOURS FOR APPOINTMENTS ARE SCIIEDULED MONDAY TIIRU 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 APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY TIIE EHD STAFF AT THE EXPENSE OF TIIE APPLICANT. Tills ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORSIIALL N BE MOZ FROM THE EHD PREMISES. <br /> r _ <br /> SIGNATURE OF APPLICANT DATE �I <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PHS/EHD RECORDS/PILES ARE IDENTIFIED: <br /> DAM' Rm ..•n W An .w <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRGSS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> D,n. Nmnmmo e,: nm.nunr..Dnn: <br />