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SAN TOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISSON <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT LAuRte'RrA&-4�jKk,� �rj&-,r PHONE NO N5 e) ,A,4- -17dl <br /> ADDRESS O' "'}� C n G . RSS j <br /> AGENCY NAM$ HdNE NO <br /> ADDRESS <br /> FULL #3�JS rNE3S NAS/ <br /> Tilt $;ies Rtzb. 4 eG d� M »in. FACTS ITY � PR.00-RnM OR <br /> TYPE OF FILE <br /> lS9�U(� 5. v rec{CeI b 'Rd �reC��S ` <br /> ^ <br /> ^ ��Ila 13 iY�r P d_- Hindu s rcKtl$._ tra..i 111 !1✓a a V�lpl <br /> t+rtiGli�tss (,ate UST <br /> 1—�' rtt a lr ma <br /> �JaI1 il-24-, L ` <br /> CW <br /> �Z _ �.O� ,,,c,•_ c_Z`�"'" °i.,_, --LA <br /> T <br /> I Sao S. c ye 5 l tST- <br /> n1 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 994-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN " PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS <br /> BY CALLING (209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS APPLICANT. THIS <br /> ADDITIONAL SERVICE WILL BE BILLED TO THF APPLICANT FOR PAYMENT. (SEF. EHn POLICY <br /> 94- 007) <br /> S. ORIGINAL PUBLIC FILESJRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> .0.....il.........4...... ........ ............a.. ........ <br /> SIGNATURE OF APPLICANT— 1 _DATE <br /> SIGNATURE OF RELEASING O I IAL DATE <br /> EH 00 14 (REV 91961 <br /> l <br />