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Ell UU 14 (ItEV 5/94) SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTI1 SERVICES �Z <br /> ENVIRONMENTAL HEALTH DIVISION y L1 <br /> PUBLIC RECORDS RELEASE APPLICATION 'A <br /> APPLICANT -ht�m�c x 1 c k PHONE NO <br /> ADDRESS <br /> AGENCY NAME n�v QY�aX F_+'1G r. CQ, mpa Y1 ' P+- ENO S erne <br /> ADDRESS 91.29 tKIL <br /> S+r-K-Vo r' C.pr 9:S2-b 9 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> +• U Y-o - F <br /> 1. <br /> N ' Sct 5 <br /> cf�N <br /> TIIIS NOTICE IS SUBJECT To THE REQUIREMEN'T'S IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EMD 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 /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENT'S ARE ARRANOED BY <br /> CALLING (209)468-0340. Orr•IcE IIOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU 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 (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NO'r RETURNED IN TIIE SAME CONDITION AS RECL'IVED WILL BE CORRECTED <br /> BY THE EI4D STAFF AT THE EXPENSE OF THE APPLICANT. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIOINAL PUBLIC FILES/RECORDS SIIALL NOT BE REMOVED FROM TFIE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DA'T'E <br /> NO PHS/El-ID RECORDS/FILES ARE IDENTIFIED: <br /> DATn: Rmnmvon er: NonFICAlln"DAM <br /> PIIS/EHD RECORDS/FILES EXIST ON TIIF. ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WIZEN <br /> RrcORUS/I'iLF--; ARE AVAILABLE FOR REVIEW: <br /> ,,[� DArno Rrmmwmn er: K"I"CATIMI DAm: <br />