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I <br /> Ell 00 14 (REV 5/9,vr SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONNiT,,NTAL ILEALT11 DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION (G s <br /> AYYLTCANT <br /> �oE�fii�t�l PRONE NO—'3yK: � o <br /> �P r <br /> ADDRESS 5 pc/u j PIjONE NO S <br /> AGENCY NAME (R Z u ��P r <br /> ADDRESS Z CAS �`{ 3 0 <br /> i <br /> a1 a ADDRESS LEAD AGL'NCY_ DAJM [� <br /> ov9�,,✓ — c <br /> 7� l3-�-fy— — <br /> p 7i! S4'n .�-Og L Ga+� Ki -13-JV <br /> /e . SC r 7-hs 1YY <br /> kJ C yo w SC oj'1-� <br /> zzz U2hfi 7—/�-9y <br /> 1141S NOTICE IS SUIIJECT TO TFIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SGRV[CES/ENVIRONMENTAL 14EALT'H DIVISION (WD)POLICY 494-007, ORDINANCE CODEOF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS,; STATE RATER; CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (19) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS R6VIEW a sY L11?POINTMENT QEU. AFFowrmarTs ARE ARRAN cED BY <br /> CALIANG (209)468-0740. OrFxB NOIIRs rOR APPOINTMENTS ARE scuEDULBD MONDAY TURU1 FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AN IV 12:00 NOON AND 1:00 PM to 4:30 PM. <br /> 3 A POBLIC RECORDS RELBASB APPLICATION (PRRA)Is REQUIRED. <br /> 4, PUBLIC FILENRECORDS NOT RETURNED IN TIIE SAME CONDITION AS RECEIVED WILL BB CORRECTED <br /> BY THE EHD STAFF AT 1NE rX MNSE OF THE APPLICANT. THIS ADDMONAL SERVICE WILL B6 BILLED'TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM THE WD FREMIs ES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATI_IRE OF R ELFASING OFFICIAI. DATF <br /> NO PIISIEHD RECORDs/FILES ARB IDENTIFIED! <br /> PHS/EHE)RSCOROS/FILES EXIST ON THE ADORESS(ES) NOTED. YOU WILL BR NOTIFI4D Wilm <br /> RV <br /> COR"RIFS ARM AYAILABIL FOR REVIEW' <br /> •r.ww m Nn,�,c...n tr,� <br /> �C � i rJUL 2 5 17�(6 <br />