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r I <br /> ��v I <br /> ' EiI 00 14 (REV 5/94 SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTIC SERVICES <br /> ENVIRONMENTAL IIEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 151s <br /> PHONE NO ZZ- <br /> ADDRESS ,5 /7�Q�car S/— �R ) FR �o C.r <br /> AGENCY NAME [/ _, '�p�p r D�vtctS PHONE NO Y2Z a <br /> ADDRESS 533 <br /> I <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 rB94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END 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 /> 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 /> i EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PARA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN TIIE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. ' <br /> SIGNATURE OF APPLICANT o- '�'� DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PHS/EHD RECORDS/PILES ARE IDENTIFIED: <br /> DAM RMRMBO mT: KmmmT DAIS: <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WIIEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW! <br /> DAm: Rmlmmn ne WmneAmmn OAlne <br /> XI2S�9" I�h.ti!Y �G• �F. Gw Y `_-�- a <br />