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zq Le <br /> LII OO 14 (ILLV 5/94) SAN 10A(2UIN COUN'T'Y <br /> PUBLIC IIEMAT11 SERVICES <br /> ENVlltONMEN'11A1, 111T,ALT11 DIVISION <br /> PUBLIC RECORDS IU,.LEA5E Al'I'LICATION <br /> APPLICANT rtO � v n l I r ll?? lt ' T.n. lri" , " l y _PHONE NO L41 � _ u � c/ - r� wo <br /> ADDRESS X06 hi ; L 31 . /Or4l - Tluc <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> PILE ADDRESS LEAD AGENCY DA"IT <br /> J <br /> O L,1 Ie� c Got t �'43 ' <br /> N (= , -add �r� s , I c . G <br /> I-ITIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEAL;TII <br /> SERVICLS/ENVIRONMENTAL HEALTH DIVISION (EIID) POLICY #94 -007 , ORDINANCE CODE OF SAN <br /> 10AQUIN COUNTY, EIID PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM or TEN ( 10) PREMISE ADDRESSES PER REQUEST. <br /> 2, PunLic FILES/RECORDS REVIEW Is BY API'OIN'CMENTONLY. APPOINTMENTS ARE ARRANor_D BY <br /> CALLING (209)468-0340. OrrlcE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:OU NOON AND I : W PM To 4 : 30 PM , <br /> 3 . A PUBLIC RECORDS RELEASE APPLICKrIoN (PRRA) IS REQUIRBO. <br /> 4 , PUBLIC PILES/RECORDS NOT RETURNED IN TIIE SAME CONDITION As RECEIVED WILL BE CORRECTED <br /> BY VIE MID STAFF AT TIIE EXPENSE Or To APPLICANT. Tills ADDITIONAL SERVICE WILL BE BILLED TO TIIE <br /> APPLICANr FOR PAYMENT. (SEE END POLICY 94-007) <br /> 5 , ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> _ I - <br /> SIONATURL OF APPLICANT c7L « a PATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PHS/EI ID RECORDS/FILES ARE IDENTIFIED: - <br /> nA,RR"RwRn M., MwnncAvm DA,R, <br /> PHS/611D RECORDS/ FILES MIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WIZEN <br /> It ECORUS/ FILM ARE AVAILABLE FOR REVIEW: <br /> DAM! R,rvnnrRm R., IAmnCAMMo# nAm <br />