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SAN JOAQUIN COUNTY .� <br /> PUBLIC HEALTH SERVICES y U4-J 7 <br /> ENVIRONMENTAL HEALTH DIVISION U 1 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 'Po wu,P -A A• PHONE NO <br /> ADDRESS 2 82 E&sf. W-�j r-ELe, 6j SLv,''-qL qr q <br /> AGENCY NAME K nl FESz, PHONE NO <br /> ADDRESS Ear-s-t- 1tit l.Xr{teJ S+dee— 5lV6-K--7ov-1 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 0 1535 ,G l�e � oevo ,TnI�cy <br /> wAi.c-AY-t%,.v- a '04_3 is- <br /> 1 005'5,l�esca.dero Ate, "cul C �–�—C1� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(E D)POLICY 894-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAxnAum OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FMES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOQVTMENTS ARE SCHEDULED MONDAY THRU 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 RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> S. ORIGINAL PUBLIC FIL.ES/RECO SHALL NOT BE REMO FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE `-QS <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PHS/EHD REcoRDs/FII.Es ARE IDENT=D: <br /> DA'm: Rummm{Y: NamcAmoN DATE: <br /> PHS/EFID RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FYLES ARE AVAILABLE FOR REVIEW: <br /> DAM Rsvmw®im. NaimcAmom DATE: <br /> 0014 (REV 5194) <br /> C� <br />