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Ell 00 14 (REV 5/94) SAN ,IOAQUIN COUN"I'Y —CJ/ C/ <br />I'UBIAC IIEALTII SERVICIS ii":T, L 3 ; ; ; 1 <br />ENVIRONMENTAL IIEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT C�i&� es f' -9 . is . PHONE NO C ,?e9) 0-f <br />5'x✓ 9' <br />ADDRESS _�6A4- "//eIct k4z S /iafv Cs_ 903!08 <br />AGENCY NAM _ 1I1UNE NO ---- <br />ADDRESS �- <br />FILE ADDRESS <br />LAS" s H#,vfity' Re/ <br />LEAD AGENCY DATE <br />i,lG�-T <br />TIIIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HrAI TI -I <br />SERVICEVENVIRONMENTAL HEALTH DIVISION (EMD) POLICY #94-007, ORDINANCE CODE OF SAN <br />JOAQUIN. COUNTY, EI -ID FEES AND SERVICE CHARGE RESOLUTIONS, STATC WATER CODs, <br />GOVERNMENT CODE AND T'HE EVIDENCE CODE. <br />A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC rILES/RECORbS REVIEW Is BrPA Po1NTMENT ONLY. APPOINTMENTS ARE ARRANOr:D BY <br />CALLING (209)468-0340. OrriCB IIOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU FRIDAY <br />EXCLUDING IIOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br />3. A PUBLIC RECORDS RELEASE APPLICATION (I'RRA) 15 REQUIRED. <br />4. PUBLIC PILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL RE CORRrCI'ED <br />BY TIIE EIID STAFF AT THE EXPENSE Or THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO TIIE <br />APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-001) <br />5. <br />ORIOINAL PUBLIC TILES/RECORDS SIIALL NOT BE REMOVED FROM TIIE MID PREMISES. <br />SIGNATURE Or APPLICANT <br />SIGNATURE Or RELEASING OFFI <br />NO PHS/01D RECORDS/FILES AR8 IDENrIrim: H nm" r, bA,m <br />MM IImm, v.T, <br />DATE / `/3' /7 <br />DATE I <br />PHS/FI-ID RECORDS/FILES EXIST ON THE ADDRrss(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br />RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br />MAmRnv,n IIM 1411 MAI— P -M <br />