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Ell 00 14 (REV 5/* SAN ,IOAQUIN COUNT118 <br />PUBLIC III:AL'1'll SERVICIr <br />ENVIRONMENTAL 11HAL111 DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />ADDRESS <br />AGENCY <br />ADDRESS <br />PILE ADDRESS <br />PHONE NO /V p2� - <br />N0 q/ 0 /y C <br />LEAD AGENCY DATE <br />-7-0 <br />TATS NOTICE IS SUIJJI;cr 'r0 -PIIS ItEQUIREMENTS IDENTIFIED 1N TIIE PUBLIC IIEALTH <br />SERVICI?S/ENVIItONMI:N'I'AI.IIPAL'1'11 DIVISION (EIID) POLICY #94-007, ORDINANCE CODE Or SAN <br />JOAQUIN COUN'T'Y, MID FEES AND SERVICE% CHARGE ItESOLU'1'IONS, STATE WA -1.0t CODE, <br />GOVERNMENT CODE AND 11112, EVIDENCE CODE. <br />A MAXIMUM or'113N (111) PREMISE ADDRESSES 1'1.•9 REQUEs't'. <br />2. PUBLIC FILES/RECORDS REVIEW is BY APPOINTMENTONLY. APPOIN'1'mrN'1;, ARE ARRANGED RY <br />CALLING (209)469-0340. OFFICE HOURS POR APPOINI'MPNTS ARE SCIICDULCD MONDAY TIIRU FRIDAY <br />EXCLUDING IIOLIDAYS, 8:00 AM •TO 12:W NOON AND I:W PM To 4:30 PM. <br />3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br />4. PUIILIC PILES/ItECORDS NOT RETURNED IN TIIL SAME CONDITION AS RECIiIVED WILL BE CORRECTED <br />BY THE MID STArP AT TItE EXPENSE OP THE APPLICANT. THIS ADDTI'IONAL SERVICE WILL TIE BILLED TO THE <br />APPLICANT POR PAYMENT. (SEE END POLICY 94-007) <br />.5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM TnE EHD PREMISES. - <br />SIGNATURE OF AI'I'LICANT.&i?..cJz-,./ '- i �CZZ:a nA-1.1:f 1 . /' / <br />SIGNATUREOF RELEASING OFFICIAL <br />DATE <br />NO PIIS/EIID RECORDS/FILES ARE IUEN'TIPIED: <br />Min. Rn"m n my! N..CAll.M Dem: <br />PIIS/EIID 11P,COItDS/17-ILES EXIST ON TIIE ADURESS(E.S) NO'i'ED. YOU WILL IIE N01"IFIED /VITEN <br />IWORDS/FILu4 ARE AVAILABI.E rOR RBVIEW: <br />b <br />Am. R..m An: N.I MAInn1 DAM <br />