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LII UV 14 (REV 5194) SAN ,JOAOUIN COUNTY <br /> PUBLIC III+,AI;I'II SERVICES <br /> I+,NVlltONMF,NTAL IIICALTII DIVISION <br /> PUBLIC RECOKDS RELEASE APPLICATION <br /> APPLICAPHONENO� L W � <br /> ADDRES <br /> AG11NCY NAME PITONLs NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DA'T'E <br /> L-0(' __ _ <br /> G Uti u �� ��r" Gr/1 —- <br /> TIIIS NOTICE IS SUBJECT TO '111H, REQUIREMENTS IDEN-13PIED IN THE PUBLIC IIFAI 1-14 <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (r-.HD) POLICY /!94-007, ORDINANCE CODE) OP SAN <br /> JOAQUIN COUNTY, );IID FEES AND SERVICE CHARGE RESOLUTIONS, STA'L'E WATE-It CODE, <br /> GOVERNMENT CODE AND T14E EVIDENCE CODE. <br /> I. A MAXIMUM or. TEN (10) PREMISE AbDREssEs Pr-R PEQur-rr. <br /> 2. PuBLiC PILES/RECORDS REVIEW is BY A1IPOINTML'•N'tONLY. APrOINT&Irtws ARE ARRANar_r, By <br /> CALLING (209)468-0340. Orr-ICB IIOUR9 rOR APm)iNrmr-.NTS ARP SCIIVOULED MONDAY 1-IIRU FRIDAY <br /> C.XCLUDING 1110LIDAYS, 8:00 AM TO 12:00 N00N AND 1:00 I,Nj -1.0 4.30 rm. <br /> 3. A I1uBLIc RECORb3 RELEASH Arl'LICATIoN (PRRA) Is REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT ;t rrURNED IN TIIE SAMS CONumaN AS REcEIvED WILL BEi CoRRLcrtu) <br /> By Tim CHID STArr AT TIIg tXPENSE OP THE APPLICANT. THIS ADDITIONAL SERVICCs WILL BE BILLED TO TILE <br /> APPLICANT EOR PAYMENT. (SEE EHD Poucy 94-007) <br /> 5. ORIGINAL. PU"LIC PILES/RECORDS SIIALL NOT Be REmOVEU FROM TI119 EI ID mr-mIsE.s. <br /> SIGNATURE OF APPLICAN,r .�� <v-��� DA-TL <br /> 431 <br /> SIONATURP OF RELEASING OFFICIAL DATE <br /> NO PHS/CIID RECORDS/FILES ARE IDCNTII:IED* <br /> ('?A M! Rt "-Wil ne N""CAnfi11 DAM <br /> PHS/RID RECORDS/FILES PXIST ON TITS ADDRSSS(ES) NOTED. YOU WILL BE NOT111- FD WIII;N <br /> Itr-cont-;tFwI•r5 Aar•, AVAILAimn root REVIEW: <br /> 11Mrnf ptrmwaatl 14.I/rvr.A"+ nine! <br />