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EII 00 14 (REV 5/94,x, SAN JOAQUIN COUNTYp Lf <br />PUBLIC <br />PUBLIC ITEAL'III SERVICES y <br />ENVIRONMEN'T'AL IIEALTH DIVISION <br />PUBLIC RECOKUS Tkl',LEASE APPLICATION <br />APPLICANT. <br />ADDRESS_ <br />AGENCY Nj <br />ADDRESS <br />FILE ADDRESS <br />S <br />PHONE NO <br />LEAD AGENCY <br />i ■ <br />WINE= � <br />�� <br />NEW 15 1 <br />s ' � � <br />DATE <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 />A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FILES/RECORDS REVIEW Is EY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br />CALLING (209)468-0340. OFFICE HOURS POR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY <br />EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM ro 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 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/RECOR SIIALL N BE MOVE FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT DATE _91 <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br />PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br />RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br />