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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES Q to -ta 7 <br /> ENVIRON ENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> KLEIM ELOE'Rj TNG <br /> APPLICANT TON ry grz.-r r n1 PHONE NO ?-09 - �`�S !3L}S <br /> CA q <br /> ADDRESS 713 zS E. I_.E <br /> TS'fbc� HONE NO S ZoS <br /> AGENCY NAME <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> tw_e Hew <br /> f�✓ niu <br /> O W Aj <br /> PrPP ox ? c000 <br /> op ,Mot <br /> r <br /> N =—S— 0 -1!9 ) <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTI>M IN THE PUBLIC HEALTH <br /> SFRVICES/ENVIRONMENTALHEALTH DMSION(E D)POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EI-ID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> ' GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> j A MAXMr,WM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> ' 2 PUBLIC FILES/RECORDS REVIEW is BY AMrNTMENT O APPOII`fIMENTS Am ARRANGED BY <br /> CALUNG (209)468-0340 OFFICE HOURS FOR APPOWTMMM ARE SCHEDULED MONDAY THRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8 00 AM TO 12.00 NOON AND 200 PM To 4 30 PM <br /> 1 + <br /> g A PUBLIC RECORDS RELEASE APPLICATION(PRRA) IS REQUIRED <br /> 4 PUBLic FILES/RECORDS NOrT RETURNED IN THE SAME CONDITION AS RECEIVED WII.I. BE CORRECTED <br /> BY THE gID STAFF AT THE EXPENSE OF APPLICANT TIDE ADDITIONAL SERVICE WILL BE Err T T;]TO THE <br /> APPLICANT FOR PAYMENT (SEE EHD POLICY 94-007) <br /> ' S ORIGINAL PUBLIc FILES RDS sHALL Nor BE RFMovED FRoM THE EHD PRE MES. <br /> SIGNATURE OF APPLICANT DATE 'S (o <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FN PHS/E D RECORDS/FILFS ARE IDENTiF�D' <br /> s asvmwn•r tknuicAlm"ELK= <br /> PHS/EHD RECORi)S/FU_M EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIF1EU WHII'( <br /> RECORDSIFILES ARE AVAILABLE FOR REVIEW n�awn <br /> D^m gyp+ar <br /> I <br />