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EII 00 14 (REV 5/94) 0 SAN JOAQUIN COUNTY • <br /> PUBLIC IIEALTH SERVICES <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �( a� �1R PHONE NO <br /> ADDRESSC uI (vn <br /> AGENCY NAME u . ( ngj4 79 PHONE NO T <br /> ADDRESS Z S C� 12-0 3 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> .-qq S (A� F <br /> u�- <br /> i <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I, A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OrrlcE IIOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY T11RU 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 RErURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY TIIE EHD STAFF AT THE EXPENSE Or THE APPLICANT. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SIIALL NOT BE REMOVED FROM TIIE EHD PREMISES. <br /> SIGNATURE OF APPLICANTpp'" DATE (� <br /> SIGNATURE OF RELEASING OFFICIAL r1 e �` DATE <br /> KPIIS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> P.v,mvno.�: lbnnunon D.rc <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DAT1: R,rv:mmn..• Wmr Ac DAM <br /> —i' <br />