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E 1 OO 14 (REV 5194) SAN ;IOAQUIN COUNTY <br /> PUBLIC HEAL I'II SERVICES <br /> EN-VllLONME rAt, HEALTH DIVISION e t�eew41-9(o--o <br /> PUBLIC RECORDS 11ZLEASE APPLICATION <br /> a-o 7 o0_;7APPLICANT PHONE NO��,4'Gz� <br /> ADDRESS <br /> AGENCY NAME T u.�n PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DA'IZ3 <br /> � (; �• tZ I�u�.���v tJ <br /> a I JCS (A) � - <br /> 1G L�� .3S•d� `� 4"r�� <br /> U Pn C•1'- <br /> `� I.Z ( lam- �P l��•r"' L C�' ,�.5 � +�`J <br /> o <br /> -',7"( L o r yds 3 <br /> �Ft�' <br /> THIS NOTICE IS SUBJECT TO TITS REQUIREMENTS IDENTIFIED IN THE PUBLIC HEAull, <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (END) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, 1:14D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WA'T'ER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODS. <br /> 1. A MAXIMUM OF TEN (Ill) PREMISB ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY AL'POINTMENT ONLY. APPOINTMENTS ARB ARRANOED BY <br /> CALLING (209)468-0340. Orr•IcB IIOURS POR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND I:oo PM To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) Is REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT kcruRNED IN TIIE SAM13 COND!TION AS RECEIVED WILL BE cORREcrED <br /> BY TILE EI-ID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDrTIONAL SERVICE WILL B13 BILLED TO THE, <br /> APPLICANT POR PAYMENT. (SEE END I'OLICY 94-007) <br /> 5. ORIGINAL PUBLIC PILES/RECORD SHALL N BE REMOVED FROM THE END PREMISES. , <br /> SIGNATURE OP APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL bA,rE <br /> No PHS/EMD RECORDS/FILE) ARE IDENTIFIED: <br /> nATn: R"W"n mri NonncAno"bpm <br /> I'HS/EMD RECORDS/PILES EXIST ON T11E ADDRESSES) NOtED. YoU ivILL BE NOTIr1ED Wu1;N <br /> RI Co"s/I♦ILES ARE AVAILABLE FOR REVIEW: <br /> Rn nmvnn.,t NonnCAnON nnrs: <br /> MTV! <br />