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s�ia 6 �- <br /> {r`oA7 SAN JOAQULrI COUNTY c, ie lie <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONINMNTAL HEALTH DIVISION (O <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �(LEINFELLOEIZ, TNG . <br /> APPLICANT - oNy PHONE NO 2-al - 9c/S— <br /> ADDRESS Z O zs E, L;F- STZ: rC Y—Tl:;W a C,A 9 s ZO V <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LFAD AGENCY DATE <br /> 1360 S . LV!Q _AVe <br /> AP s N <br /> IQ 2 T C* O V <br /> e,gb&L+ S ln1Dj AN sraRr- UPj�N0w 1"j' Lo Al AV6 <br /> THIS NOTICE IS SUEJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENYIRONMENTAL HEALTH DIVISION(EEID)POLICY#94-007, 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 MA7CW M OF TEN (10) PREMLSE ADDRESSES PER REQUEST. <br /> ' 2. PUBLIC F=/RECORDS REVIEW is BY APPOINTMENT 0NLY APPoerrmwrs ARP ARRANQED BY <br /> CAUING (209)468-0340 OFFICE HOURS FOR APpourrmam ARE scHEDULED MONDAY THRU FRIDAY <br /> Excumma HOLIDAYS, 8.00 AM To 12 00 NOON AND 100 PM TO 4 30 PM <br /> 3 A PUBuc RECORDs RELEASE APPLICATION (PRRA) L4 REQUIRED <br /> 4 PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION As RECEIVED WILL BE CORRECTED <br /> I 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 /> ' 5 OR 0INAL PUBLIC FILM qCRI?fs NOT BE FROM THE EHD PRE mEs. <br /> SIGNATURE OF APPLICANTDATE <br /> SIGNATURE OF RELEASING OFFIQV DATE• ' <br /> No PHS/EHD REcoRDs/Fa.FS ARE IDENTIFIED: <br /> Mn. Raimo nr NOTWWATM Kum <br /> PHS/EliD REcoRDS/FmEs EXIST ON THE ADDRESS(ES) NOTED YOU WILT.BE NOTW= WAY <br /> 10 1 <br /> 1 RECORDSMLES ARE AVAILABLE FOR REVIEW <br /> L[DAm Revawsn ar NOTUWAUar Mn <br />