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__ ._-1'�'r5 Lie':5?F'f°I FF'ilfl Tli 4?4711_13c F.'72 <br /> 1:11 00 14 (REV 5194) �`� SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTII SERVICES <br /> EN-VLRONNIENTAL IiEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Grp@S \-/a lc PHONE NO (�Qj-359 <br /> ADDRESS <br /> AGENCY NAME rl\v PHONE NO <br /> ADDRESS Qct to- M <br /> C I=) 9S299 <br /> FILE .ADDRESS LEAD AGENCY DATE <br /> L>•ncol �',II Cenl�r' paa�i, Pxr,klol� 12�,.1a�L6 � 962'9' � rclne 1�51� �'Lu'kaf4 <br /> 6 Pact e ?rve p-� 2 E 6 2 - <br /> Sly L 3a C�L31 Pa64,,. Ave LOP ak ..1. Z2� 5-ta _q� CoII,ms <br /> CA�e.Da's C.ar Wash 6230 L <br /> LO (' 2�L _ -13 X89 ( teat's <br /> 64l`Par�Cs I, vrcH ' �G3� PaGi�j�Ave LOP ( 1�-SLi 6-25-9p <br /> Pac es PK/e L ()P I+- l22 (n 12-.L <br /> THIS NOTICE IS SUBJECT TO THE REQUIREIvIEN"PS IDEN'nFIED IN THE PUBLIC HEALTH <br /> S[RVIC[S/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF SAN <br /> JOnQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE PATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> A MAXIMUM OF TEN (10) PREMISE .ADDRESSES PER REQUEST- <br /> 2, PUBLtc FILES/RECORDS REVIEW is EY APPOINTMENT ONLY. APPOINT7,4ENTS ARE ARRANGED By <br /> CALLING (209)468-0340. OFFICE HOURS 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) IS 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 THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO TILE <br /> APPLICANT FOR PAYMF,NT. (SEE EHD POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREmis ES. <br /> SIGNATURE OF APPLICANT DATE O—In —g5 <br /> SIGNATURE OF RELEASING OFFICIAL !' DATE <br /> II NO PHS!FF1IJ RECORDS/FILES ARE IDENTIFIED: <br /> ( I Dn^L 0.cnmWn n. 14TwGvo. DST' <br /> rRzcoRD-j'FILES <br /> /EF{D RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> ARE AVAILABLE FOR REVIEW: <br />