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SALT JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ( h h PHONE NO <br /> ADDRESS C_ r <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 10 a I 1 i\du54kP,d R L 5 - �-9 s <br /> 7L 0 1 D �3' , <br /> ,�i I G I 5 . A r pu -t lnl r- 1Res f <br /> �4 4 r '--1 c <br /> I < 5�,1,A- 1 �� <br /> '7 t v✓ Lo. VI <br /> 0 5, r-i D c�� t <br /> -D . <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EIID) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, ElID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREIMBE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW LS BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. 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 CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE E D STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHI) POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT i DATE iS "c 5 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PHS/EHD REcoRDs/FII.Es ARE IDENT=D: <br /> DA= Rsvxw®NY: Noraxanaer Dpaw <br /> PHS/EHD RECORDS/FILES EGST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILLS ARE AVAILABLE FOR REVIEW: <br /> D,%m Rsvmw.m By- Namcunon DA'm: <br /> 1 (REV 5/94) <br />