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1 <br /> • EII UU 14 (REV 5194),;- SAN JOAQUIN COUNTY �! <br /> R&tlt�I <br /> .PUBLIC IIEAIAII SERVICI<:5 <br /> UN031994A ENVIRONMENTAL HEALTI I DIVISION ' <br /> . <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PLICANT PHONE NO -7 Z - 9 1 a d *4%;`\OA%DRESS I# # 8 ac �recs I3 (vd, � •Ipft'k� C <br /> so�s -- S P ,� PHONE NO --- <br /> � AGENCY NAME <br /> ADDRESS ,I <br /> FILE ADDRESS LEAD AGENCY DATE <br /> cc <br /> �-+twtry CINi� a ( v.:f LO ��`��� <br /> op h) .S o C J� �'� �Fy �R '1 It2c�. ,� 0 p r�CS��i Z`L Q 13•; <br /> 0 4 11 0 I N d ,t 5 fir, g } r, L o F, i�35"'�G^ o?2o2 <br /> ;Z90 Lvcti-,5 A4. Lcfl, <br /> 1 ZO t7--, Lr, 4r fort{. Ld p ? <br /> 1 5 a C S (n a w n C. p L <br /> vp 9 W , W,; IKKt Gpev � <br /> THIS NO'IICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN, THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(END)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 /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSO PER REQUEST. <br /> r• I <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY PPOINTMEN ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE IiOURS FOR APPOINTMENTS ARE SCIMOULRD MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, $:00 AM TO 12:00 NOON AND 1:00 Phi TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEAS$APPLICATION (PRRA) 1S REQUIRED. <br /> 4. PUBLIC PILES/RECORDS NOT RE 'URNCD IN TIIE SAMB CONDITION AS RECEIVED WILL an CORRF,&ED <br /> BY TILE EHD STAFF AT THE EXPENS13 OF THE APPLICANT. THIS ADDITIONAL,SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT, (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/11 <br /> ILES/ CORDS SHALL NOT BB REMOVED FROM TNB EHD PREMISES: <br /> SIGNATURE OF APPLICANT - DATE b 14 , <br /> SIGNATURE OF RELEASING OFFI IAL DATE <br /> NO PHS/EHD RECORDS/FILES ARB IDENTIFIED: <br /> DA79! Itemmma xrs NUMCAl"DATa: . <br /> PHS/EHD RECORDS/FILES EXIST ON THB ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DATH: Rav�O+wtia axr NvrtPecArnr+Data: <br />