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Ell 00 14 (REV 5/0 SAN ,IOAQUIN COUNTY* <br /> PUBLIC HEALTH SERVICES �,) 7 <br /> ENVIRONMENTAL IIEALTII DIVISION / <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Tc z P a Ki *;y f- PHONE NO (S lc') 3 T Z - 9 1 co <br /> ADDRESS fS $S / sc4 l3lvd /-j I(,,, ' 3 <br /> Cq 9ySS <br /> AGENCY NAME I PHONE 5$ <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> /976 co-�Nf'y CI.. 6 131v.f. L0 <br /> t0500 r <br /> S. �'� 4� 14�, (2�l <br /> 4110 I� 1(v5fa1 pr _ LcP / l/ CT �1 .�e <br /> 'Ls69 LOClgls 114. LcP <br /> D C 7- <br /> 17 u k, L c c he fu ;LL o P 7 1/LU "% <br /> ISoC Shaw fTct Lop <br /> 8� 29 W, Wclhvt Grove Ir H <br /> i <br /> THIS NOTICE 1S SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(END)POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. 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 APPOINTMENTS ARE SCHEDULED 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 APPLICATION (PARA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> By 'rim END STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE END POLICY 94-007) <br /> S, ORIGINAL PUBLIC FILES/R CORDS SHALL NOT 8E REMOVED FROM THE END PREMISES. <br /> SIGNATURE OF APPLICANT - n DATE b 1 9 y <br /> SIGNATURE OF RELEASING OFF1 IAL DATE <br /> F=RECoRDs/FILES <br /> ORDS/FILES ARE IDENTIFIED: - <br /> Kelso n: Nons,cnnd Dnn: <br /> S/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> E AVAILABLE FOR REVIEW: <br /> Rew,eveo er: Nvnercwnrn, Nm <br />