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&Eglj 00 14 (REV 5/94) SAN JOAQUIN COUNTY q5ZgD <br /> a •PUBLIC HEALTH SERVICES • CvrLLt 3 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ul=' PUBLIC RECORDS RELEASE APPLICATION 1 <br /> �. C=?LppLICAIVT z I N- Daft/q{ -// PHONE I/NO V64F <br /> QADD 5 D7 E I o✓ v ✓ - (7 (� 1.7--� ve, <br /> ��- AGEIVC NAME .5 6-PTDu( 5kaEI 49�w d J)VIlNL-v-tLL. PHONE NO <br /> `- ADDRESS k11J�10 ft1Nd/7rNAc y 4A �o �dl�c� <br /> FILE AdDRESS / LEAD AGENCY ATE <br /> V63 <br /> .. C 00 •.z oLuN-e4L .� fjy' d- S vc. 1�`�I�1,Q- ! Y`t Y 1 cf 3 <br /> lMal- roan- IyZ; b 1 k�1 gun z/s _ L9 . i� v clr/� 71 - l iFl x- -c vu1 <br /> I <br /> i <br /> THIS NO110E 15 SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES%ENVIRONMENTAL HEALTH DIVISION(END)POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN iCOUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, y <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (I0) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILO/RE-CORDS REVIEW Is BY APPOINTMENT ONLY, APPOINTMENTS ARE ARRANGED BY <br /> CALLING : (209)468-0340. OPFICE HOURS FOR APPOINTMENTS ARE SCIIEDUL13D MONDAY THRU FRIDAY <br /> EXCLUDIIp4G HOLIDAYS, 8:00 AM To 12:00 NOON AND 1:00 Phi TO 4:30 PAI. <br /> •- 3. A PUBLIC RECORDS RELEASE APPLICA-ftON (PRRA) IS RBQUIRBD.----�. - - --_ - <br /> 1 <br /> 4, P4UC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION As RECEIVED WILL BE CORRECI-ED <br /> BY TNB ERD STAFF AT THE EXPENSE OF THE APPLICANT. 1)I1S ADDITIONAL SERVICE WILL BE BILLED TO TILE <br /> APPLICANT AOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 1.: <br /> •5. ORIOINAL PUBLIC FILES/RECORDS BBAL NOT.,O`40VED FROM THE EHD PREMISES. <br /> 1 - <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> PHS/ HD RECORDS/FILES ARB IDENTIFIED: <br /> •..`«`. rREcoRn�IFILKS <br /> Nnv "W bornH? RECORDS/FILBS EXIST ON TIIB ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WIZEN <br /> ARE AVAILABLE FOR REVIEW: <br /> IPenawee rn Nm..ewmw b...m <br /> 1 <br /> i <br /> TOTAL P.02 _•_ <br />