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06-22-19Y5 03:23PH FRO116 TO 19169622678 P.Fat <br /> lu�x�wJ PtS- 12-9 <br /> ! = EMI .OU 14 1 RE V 5/94) SAN JOAQUIN COUNTY <br /> PUBLIC IIEAL'.['II SERVICES VAL±i 3 <br /> ENVIRONMENTAL. IIEALTI.1 DTVXSIQN <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APOLIC Verr;c+ p - e--rsc--r �'c_ _PHONE NO <br /> i <br /> ADDRESS 776elV C6 2sc- <br /> AGENCY 1,,AME ---_ _ _PHONE NO <br /> ADDRESS <br /> i <br /> EI ;B DD Ma UAD.AGENCY pATfi <br /> 0 AVe_ uN)-cfio <br /> I <br /> I • <br /> THIiS NOTICE IS SUBJECT TO THE REQUIREMENTS 1DENT.IFIED IN THE PUBLIC HEALTH <br /> SERVICES/E VJPONMENTALHCALTH DIVISION (F.H.D) POLICY 894-007, ORDINANCE CODE-0F SAN <br /> JOAQUIN C UNTY,' EHD FEES AND SERVICE CHARGE MSOLUTIONS, STATE WAT n CODE, <br /> i GOVERNME T COD1rAND THC EVIDENCE CODE. <br /> • I r <br /> I. A MAXIMUM O0,TEN (10) PREMISS ADDRESSES PER REQUEST. <br /> I ! 2. j PU13L C FILES/.RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINT7+SENTS ARE ARRANGED BY <br /> CALLING (2 9)468-034'0. OFFICE uouRS FOR APPOINTMENT'S ARE SC14EDULED MONDAY TERN FRIDAY <br /> I EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 Pm TO 4:30 PM. <br /> 3. A Pu LIC RECORDS RELEASE APPLICATION (PRRA) 19 REQUIRED. <br /> i 4. PURL C PILES/RECORDS NOT RETURNED 1N THE SAMIEI CONDITION AS RECEIVED WILL UE CORRECTED <br /> BY THE EHD STAFP AT THE ExPBNSE OF THE. APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO TIM <br /> ! APPLICANT FO PAYMEN'1. (SEE EHD POLICY 94-007) <br /> S. <br /> ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE IMMOVED FROM THE EHD PREMISCiS. <br /> SIGiNATURE OF APPIJCANT DATE & <br /> SII NATURG OF RMEASING OFFICIAL DATE <br /> } No PHS/E D RECORDS/,FILES ARE IDENTIFIED: <br /> ? pArn: I Rms"Im■tr OWWWAMP4 DAric <br /> I <br /> PHS/EHD RLCORDSIFILES EXIST ON THE ADDRESS(ES) NOTED. YDU FILL 119,140TIFIED MIEN <br /> RECORDS/FILES ARE AVAILABLE FOR IZEVIEW: <br /> 7wn., Ravtu+wnD�t, ►J<mneAna+ QA7w; ' <br /> i <br /> Ti-iT4. P.l,n <br />