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• SAN JOAQUIN COUNTY • <br /> PUBLIC HEALTH SERVICES D /� �� 7 Q,- <br /> ENVIRONMENTAL HEALTH DIVISION GtitGl� e3v y <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT e oyvc- d A. 'k-kLc N PHONE NO .2o-l— q-1 g— / <br /> - -�y7S <br /> Z � � • EADDRESS ZS _ 4 <br /> 4 <br /> AGENCY NAME L E�I nIF{! E rZ PHONE NO 2 q-q <br /> ADDRESS Z `6Z5 F s r y� Xr{ lP . S+✓e�� Sic lL au <br /> FILE ADDRESS LEAD AGENCY DATE <br /> /535 /—' , ne✓o C cg, w4,.,, Flea� r4- 3 -QS <br /> f0 cc AY* y r�Wl ��T2CLU (-Qu, ( I--Ec��flt <br /> ooSS.�escQ�ler-o A(,�, i7?_ u( <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 /> 1. A MA.)mquM OF TEN (IO) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPowrmENTs ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY <br /> ExCLUDfNG 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 THE EFID 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 FII.ES/RECORcDS SHALL NOT BB REMOFROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANTr. _ -- DATES— <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PHS/EHD REcoRDs/FI.Es ARE IDENTIFIED: <br /> Dots: Nmu MW Dire: <br /> PHS/EHD RECORDS/FILES MST ON THE ADDRESSES) NOTED. YOU WILL BE NOTIFIED WEEN <br /> RECORDS/nI.E3 ARE AVAILABLE FOR REVIEW: <br />`� Die: Rsvmwas IV. Km my x Dots: <br />