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R�P�v'✓1 -fio �y �V�0. +1vteZ Fax. ��?-��� 4(0$- 3433 <br /> Lill OO 14 (ItEV 5/94) SAN ,IOAQUIN COUNTY <br /> I'UIimC HEALTil SERVICES <br /> E.NVlliONMENTAL 11EAvul I)IV1SION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PHONE NO <br /> APPLICANT <br /> ADDRESS PIIONI3 NO <br /> AGCNCY NAME <br /> ADDRESS <br /> FiLCADDRI?SS <br /> BEAD AGENCY DATE <br /> 1'FIIS NO'T'ICE I5 SUER"sC'r TO '1,141s REQUIREMEN'T'S IDENTIFIED IN THE 1'UELIC HGAL'fN <br /> ITIS NI's5/ENVIRONMEN1'ALHEAL9'I{ DIVISION (END) POLICY N94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MID FEES AND SEItVICE CHARGE RESOLUTIONS, sTATF WATER CODE, <br /> GOVERNMENT CODE AND TIIE EVIDENCE CODE. <br /> I, A MAXIMUM or,TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2, PuBLIc FILES/RECORDS REVIEW Is RY APPOINTMENT ONLY. APPOIN"TMENT9 ARE ARRANOGb BY <br /> CALLING (209)46&0340. OrrlcE IIOURS POR APPOINTMENTS ARE SCIIEDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM 10 12:00 NOON AND I:00 rM To 4:30 rm. <br /> 3, A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4, PUBLIC rILES/RECORDS NOT REI'URNr.D IN TIIE SAME CONDITION AS RECEIVED WILL BE CORRECIED <br /> BY TIIE EIID STArr. AT THE EXPENSE OP TIIE APPLICANT. Tills AODTI'IONAL SERVICE WILL BE BILLED TO TIIE <br /> APPLICANT POR PAYMENT. (SEE MID POLICY 94-007) <br /> 5. ORIGINAL PUBLIC TILES/RECORDS SUALL NOT BE REMOVED FROM T118 EIID PREMISES. <br /> DATE _-- <br /> SIGNA'T'URE Or Al'I'LICANT <br /> SIGNATURE Or RELEASING OFFICIAL <br /> DA'I'S <br /> L1,HS/EID <br /> EIID RECORDS/FlLrS AAR13 IDENTIFIED: Npnncnrnx+bntni <br /> RECORDSMILrS EXIST ON TIIE ADORESS(ES) NOTED. YOU WILL BE NOTATED WHEN <br /> S/FILE.9 ARF, AVAILABLE POR REVIEW:""v .�r, <br />