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Ell 00 14 (REV 5/94)"" SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTII SERVICES �E- 7�1 <br /> ENVIRONMENTAL HEALTH DIVISION �" 3 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 6'rbN y rvl"-q►IJZPHONE NO 2,437-gV* - /3 VS" <br /> ADDRESS 2!S2-5 5, M41ZT LA5 -z:JW-e-2 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> �rJ 10>✓►ten Proce-4 y <br /> 131-co EIraoHsfw- fq <br /> 95 <br /> F=NVIRONNAFNTAL HEALTH <br /> PFRMIT/SERVICES <br /> THIS NOTICE IS SUBJECT 1.0 THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION (EHD)POLICY#94-007, 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. Or-mcE 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 THE SAME CONDITION AS ItECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO TIIE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/ CO DS.pl'A�L NOT BE REMO D FROM THE, EHD PREMISES. <br /> SIGNATURE Of APPLICANT7 DATE -Z <br /> SIGNATURE OF RELEASING OFFICI DATE <br /> NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> DAM Rsv"rw"NY! HMFICAnan DAYS! <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> 0 DATM RBwewRo ors HWMCATlW DAYS: <br /> L G� <br />