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10/02/95 12:16 V415 541 9366 DAMSON BRIDGETT <br /> Ell 00.?4 (RV 5 _ SAN JOAQUIN COUNTY � r�ooz/ooz <br /> E <br /> PUBLIC HEALTII SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �— <br /> J;� PHONE NO :Z�� <br /> ADDRESS---4;M2. i7vza�� SY <br /> AGENCY NAME_ PHONE NO <br /> _ - <br /> ADDRESS gyros <br /> FILE ADDRESS LEAD AGENCX DATb <br /> a'2 l6 r/`?�,i¢ Ta�.vor, ('e txl 3, i`I V. 2 <br /> rm'A vs <br /> .t�.35• _ /`9F>Q7L¢ SrocA:mll nA _ N � i-l� r ,F ,�-+x$.15' cigd•�„ 9� <br /> tvd Ar- r -•• r >7xa a !Y n ,y 11 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SLR V ICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRM383 PER REQUEST. <br /> 2- Pusuc FILESIRECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0341- OFFICE HOURS FOR APPOINTMENIB ARE 3cHEDU1.FD MONDAY T11RU FRIDAY <br /> EXCLUDING HOLIDAYS, 6:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 pM. <br /> 3- A PUBLIC RECORDS RELEASE APPLICATION (PRRA) 13 REQUIRED. <br /> 4_ PUBIC FILEWRECOROS NOT RETURNED IN TIIE 8AM6 CONbIrtON At ItacFiVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT, TINS ADDITIONAL SERVICE WR,I• BB BILLED TO THE <br /> APPLICANT FOR PAYMENT- (SEB EHD POuCY 94-007) <br /> 5. OIUGINAL PUBLIC FILESIRECORDS SMALL NOT BE REMOVED FROM THE EHD pREML3ES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EPH&EHDRDS/FILES ARE IDFNfTIFIM.IFIL5S EXIST ON THE AbbR=(")No'TgD. YOUWILLBENOTIFIEDWNEN <br /> E AVAILABLE FOR REVIEW:N�vlll•Me fin, [b,TG1101•DA n: <br />