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lJOAQLqiN COUNTY ut� 95- <br />LIC HEALTH SERVICES I a <br />&NVlRON'lNffiNTAL HEALTH DIVISION vq <br />PUBLIC RECORDS RELEASE APPLICATION <br />PHONE <br />APPLICANT No <br />ADDRESS t_�. V"t-1 L -E, $ <br />AGENCY NAME ISL F --t M r -`t- L, -Q Liz— —PHONE NOZQj --q4 9 -L� q_t-l> <br />ADDRESS f0t-5 <br />FILE ADDRESS LEAD AGENCY DATE <br />D 1772,Ac_q t ti cowim <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EIM) POLICY 1194-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EBD 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 REOUM. <br />2. PUBLIC FII-ES/RECORDS REVIEW is By APPORM= ONLY. AppoerrmENTs ARE ARRANGED BY <br />CALLING (209)469-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU 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 NOT RETURNED IN THE SAME cONDmON As RECEIVED WILL BE CORRECTED <br />By THE = STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br />APPLICANT FOR PAYMENT. (SEE ERD POLICY 94-007) <br />5. ORIGINAL PUBLIC <br />SIGNATURE OF APPLICANT <br />4ZTr,N AM TR F. OF RELEASING OFFICIAL <br />DATE, <br />No PHS/= RECORDS/FILES ARE IDENTIFIED: <br />D^m Rsvmww Al- MarWlr-%IIW DAM <br />IPHS/EHD RECORDS/FELES EMT ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTD71ED WHEN <br />FtEcoRDs/nLF_S ARE AVAILABLE FOR REVIEW: <br />DAM. RWASWED ily: <br />EH 0014 (REV 5194) <br />,S -- <br />