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ecj <br /> 5AN JOAQUIN COUNTY Ne, `Jvl a l 'xtJ <br /> PUBLIC HEALTH SERVICES ] q- <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT M( i v)Le PHONE <br /> ADDRESS f=, r e S <br /> AGENCY NAME r PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> } <br /> 7.550 Ia tiw�� Pass t lam . <br /> 25705 4 W:r 5 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH 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. OFFICE HOURS FOR APPOwrm ENTS ARE SCHEDULED MONDAY THRU FRIDAY <br /> EXCLUDING HOLIDAYS, 9:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION TRRA) 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. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EFID PREMISES. . <br /> SIGNATURE OF APPLICANT DATE 1-17-IS <br /> SIGNATURE OF RELEASING OFFICIAL DATE, <br /> No PHS/EHD REcoRDs/FII.ES ARE IDENTIFIED: <br /> pxn; Ravuwm m Nmm . DA.: <br /> PHS/EHD RECORDS/Frt ca EXIST ON THE ADDRESS(ES) NOTaD. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> Dwn: Ncrmvm�r: Nmv;ewnax DwTe: <br /> 1 ( .1/ <br />