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.. - * I _ <br /> Ell 00 14 (REV 5194) SAN ,IOAQUIN COUNTY AIoN' q9' �b <br /> PUBLIC HEAL1711 SERVICES l" <br /> ` tNVIRONMENTAL IIEAurll DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Z-/ <br /> / O S <br /> APPLICANT /7 Ls!" I)7 j m QA'i g HONE NO JT ~ <br /> ADDRESS /0 !�I i <br /> AGENCY NAME /?kms 4 k S 7-14 Lo PH NE NO <br /> ADDRESS `0 )1 Alm 7 <br /> I <br /> I <br /> i <br /> FILE ADDRESS LEAD AGENCY DATLO <br /> �2� <br /> L <br /> T'IIIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HLALIH <br /> SERVICES/ENVIRONMENI'ALHEALT'H DIVISION (EI1D)POLICY N94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E-1-ID PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE ANDT148 EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE AbbREssns PER REQUEST. <br /> 2: PUBLIC TILES/RECORDS REVIEW Is By APPOINTMENT ONLY. APPOINTMENTS ARE ARRANOEV BY <br /> CALLING (209)468-0340. Orr•IcE HOURS FOR Atmmi MENTS ARn SCIIEDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM '10 12:UU NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PunLlc REcoRbs RELEASn APPLICATION (PRRA) Is REQUIREb. <br /> 4. PUBLIC PILES/RECORDS NOT RETURNED IN TIIE SAME CONDITION AS RECEIVED WILL Be CORRECTED <br /> BY TIIE END STAPP AT TIIE EXPBNSB OF TIIE APPLICANT. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEB E11D POLICY 94-007) <br /> 5. ORIOINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM Tim END PREMISES. <br /> SIGNATURE OP APPLICANTnn DATE )) / <br /> SIGNATURE OF RELEASING OFPICIA / U/ l< 1' V�� DATE I I� CI <br /> No PNS/EHb RECORbS/rILE9 ARE IDENTIFIED: <br /> bem• pema D m Kmmm"w UAm: <br /> PNS/PND RECORDSMILCS EXIST ON TIM ADDRESS(BS) NOTED, YOU WILL BE NOTIFIED WHEN <br /> RECORDS/PILES ARE AYAILAnLE FOR REVIEW: <br /> bem• mm .sn NOI1mCAmIM1 hem: <br />