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i EII 00 14 (REV 5 SAN JOAQUIN COUNT #q5'f Z <br /> j PUBLIC HEALTH SERVICIi�S / n <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Amp, �r(-5—c. PHONE NO —xz <br /> ADDRESS Z L m 121.E(p(hI QA(� Get t—I �n a! 733( _`�GL11 FI%I Lex G1 C . 2�t 11 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 0 �Ivj Wa*ft?*�00 r 5 c V r 1 i61 <br /> CO <br /> Zc z S24 <br /> T e'k- a-p f Jb <br /> re Z`l I <br /> _ -o <br /> 03 �jnvti hr. o ) r <br /> 2-700 ng L n R r <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. 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 /> 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 TIIE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> EY 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 ROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE (C <br /> SIGNATURE OF RELEASING OFFI IAL DATE <br /> NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> DA,n: Rmna ori NMRChriM DAne <br /> PHS/EHD RECORDS/FILFS EXIST ON TIIE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DATA: Rm/,TVPO.r: NOfm Mu DA.: <br />