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SAN JOAQUIN COUNTY � <br /> PUBLIC HEALTH SERVICES <br /> &', YVMONNIE TAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> KL.EINFELC�,6KZ; TNG . <br /> APPLICANT A T-Ry : TONY M r4 R.-r-I/J PHONE NO Zog- <br /> ADDRESS 71O ZS 6. MNR.TL.r ST STbGK•"l1�jj , C'�► 9 S ZOS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> M I Al r -r'l AlZg <br /> Nas s � <br /> F� L.0 <br /> p� vi ij <br /> -sTVkes AV VA nl O <br /> os s a^j sr. <br /> esc-ia-L'o^j <br /> P/ J 22-7- 062 -'OZ <br /> THIS NOTICE IS SUBJECT TO TEE REQUIREMENTS IDENTIFIED IN TIE PUBLIC HEALTH <br /> SERVICES/ENVaONMENTAL HEALTH DIVISION(EHD)POLICY#94--0 ,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 MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> Z. PUBLIC FU-ES/RECORDS REVIEW Is BY APPOMTMENT ONLY. APPOIIfTMENT3 ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOIITITvfum 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(PARA) IS REQUIRED. ' <br /> 4. PUBLIC FU-ES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WIIL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WML BE BII.LID TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLICS S PR <br /> NOT BE REMOVED FROM THE EHD EMISES. <br /> SIGNATURE OF APPLIC!0FFI <br /> DATE <br /> SIGNATURE OF RELEASDATE- <br /> No PHS/EHD REcORDs/Faxs ARE IDENTIFIED: <br /> DATV: Rtwww■r. ('IOi1FTCA710M DATE: <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES)NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDSIFILES ARE AVAILABLE FOR REVIEW: <br /> DAM RavaWm m marmckndt Mm j <br /> (5 ffZTff 5/ <br />