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EIl 00 14 (REV 5/94) SAN JOAQUIN COUNTY <br /> d�\ PUBLIC IIEALTII SERVICES <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT--Lc2�1_ C "Ilj PHONE NO '��1G - 6�7/-/Od 7 <br /> ADDRESS 3 4-T!1 I /,y . 9r 7S$ <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICY/194-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> t <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE IIOURS FOR APPOINTMENTS ARE SCIIEDULED MONDAY THRU 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) LS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF T11E APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) p <br /> 5. ORIGINAL PUBLIC FILES/REC013p,,$,a)IALL NOT BE REMOVED FROM 771E EHD PREMISES. <br /> SIGNATURE OF APPLICANT —�—�—� DATE j j2 I / <br /> — —T— <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> DAM NOnA AT DAM <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WIIEN <br /> RECORDS/F1LES ARE AVAILABLE FOR REVIEW: <br /> DAM RIFI,IMIIS m NI„RF.•., n.,Tl! <br />