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• Ell UU 14 (REV 5/94' SAN JOAQUIN COUN'T'Y ' <br /> PUIILIC IIEAL'I'I11: SERVICI+' v 7 1�" laavl <br /> 0 31994 ENVIRONMENTAL IIEALTH DIVISION r I� � <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT T° e a "' "9 PHONE NO (S 1 37 t - 9 1 0 0 lqwl� <br /> '.ADDRESS 449 litkecc /3 /yd, 1-14f' 11'y -e1- C 9 S <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> { FILE ADDRESS LEAD AGENCY DATE <br /> 3 <br /> i � 18 -76 , co,twtry c 1., 6 I3 { v,:{• L O <br /> ,' /0 5 0 0 S. H 4r lq �l (2c( L c P <br /> 01 �l 4110 fv"-41'1 D ►'. L c P <br /> L 6 �l I_UC►ntS A4. Lor <br /> 17-0 1.=, LGC- ISE fare. LOP <br /> I � Q C S Inaw nd. Lop <br /> 00 �� 29 W . WI: Iw -4t G )'eva <br /> "]'HIS NOTICE IS SUBJECT TO THE REQUIREMENTS 1DEN73FIEU IN THE PUBLIC HEALTH <br /> !iSERVICES/ENVIRONMENTAL IIEALTH DIVISION (EHD)POLICY#94-007, ORDINANCE CODE OF SAN <br /> -JOAQUIN COUNTY, I;HD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> i1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> ;2. PUBLIC ALES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APP0INIMENIS ARE ARRANGED BY <br /> CALLING (209)465-0340. OFmca IIOU1tS FOR APPOINTMENTS ARE SCIIEbULED MONI)AY THRII FRIDAY <br /> 1[EXCLUDING HOLIDAYS, 9:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS R$QUIRED. <br /> E.4. PUBLIC PILES/RECORDS 'NOT RETURNED IN THE SAME CONDfCION AS RECEIVED WILL BE CORRECTED ' <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. Tim ADDCI"IONAL SERVICE WILL BH BILLED TO THE <br /> (APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> $. ORIGINAL PUBLIC PILES/R CORDS SHALL NOT BB REMOVED FROM THE EHD PREMISES: <br /> DATE b/1 C9� <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE OF RELEASINC3 OFI'I IAL DATE <br /> NO PHS/EHD RECORDS/PILES ARE wwvr p: <br /> ` DATA! Revinw"Ir: munr:cATm"DATA: <br /> PHS/EHD RECORDS/FILES EXIST ON T1113 ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DATA: RavmwAv f7: r1p:iPtGT[IN 11ATM! <br /> c <br /> R <br />