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EI1 OO 14 (REV 5/94) SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICTS <br /> ENVIRONMEN'T'AL IIEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTPHONE NO <br /> ADDRESS /y f � <br /> t <br /> C f1 9Y r <br /> AGENCY NAME /l - PRONE NO //S - ZJ- 7- Y3a <br /> ADDRESS U / !� ���, 6 E 2- <br /> FILE ADDRESS LEAD AGENCY DATE 7 <br /> THIS NO'T'ICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEAL'T'H <br /> SFRVICES/ENVIRONMENTAL IIEALI.11 DIVISION (EIID) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E1417 FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OP TEN (10) I'REMISE ADDRESSES PER REQUEST. <br /> 2. PGBI.Ic FILES/RECORDS REVIEW Is BY APPOIN'FMEN'C ONLY. APPo1NTMENTs ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICR IIOURS FOR APPOINTMENTS ARE SCIIEDULED MONDAY TIIRU 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 (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECITI) <br /> BY THE EHD STAFF AT THE EXPENSE OP THE APPLICANT. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE END POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE L"HD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OP RELEASING OFFICIAL DA'Z'E <br /> NO PHS/El ID RECORDS/FILES ARE IDENTIFIED: <br /> Imre. Rm"an er: RimFlcnnon Dem: <br /> PIAS/EIiD RECORDS/FILES EXIST ON THE ADDRESSES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> Dem: Rmvwno�r: Hnmrnm+�Dnm: <br /> � •I qq ff��77 rn� <br /> 7 11. J iJJ <br />