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i .'7 0.__I aoc. Ijc:`TF'h1 FF'i ihlgo TO • 47470`=' P.0_ <br /> J;II 00 14 (REV 5/94) SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> ENVLRONMENTAL IiEALTH DMSION btu:L 3 <br /> PUBLIC RECORDS RELEASE APPLICATION �n <br /> APPLICANT I I10mas S�/Cdck PHONE NO y 3I p -35g.L <br /> ADDRESS F 1-I — 682 <br /> AGENCY NAME PHONE NO So-vv 2 <br /> ADDRESS ,L-?-n 4 <br /> 4cwr% , CA 9529 9 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> c' �(acol Yrc; LlIl0W•argi-6 \Octy I-Op <br /> o i�Yto t$ 216$ U 11 W. GxarlerW�/ LOn o'5.- 91 <br /> S} oII; /nZE)W . aYlfrW4y LOP -69 <br /> Ccc�� �al qE C(1a✓lerl>k„� LoP -89 <br /> o CnPVfOn 5&t,41; 13Lt� G . EI Dorcu90 L n P 35zG )L . e 2_ 1 -Z -9 Z <br /> o Ex pn Jk ©t3� • ib6 S S . �1 �brodlo LOP 3f2� c�LL�w 6 -Z1 -9L <br /> ., <br /> THIS NOTICE IS SUWECT TO THE REQUIREMEN"fS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF. SAN <br /> 10AOUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE RATER CODE, <br /> GOVERNNIENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN (10) PREMISE ADDRESSES PER REQUEST. <br /> n' <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED 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) 15 REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN TRE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO TIIE <br /> APPLICArrr FOR PAYMENT. (SEE EHD POLICY 94007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ';I,'MATURE OF APPLICANT DATE 6- s <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> N(, PHS/EIID RECORDS/FILES ARE IDENTIFIED: <br /> PHS/END RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDC/FILES ARE AVAILABLE FOR REVIEW! <br /> p., 0.m+ b w t m"n w Pen: <br />