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Ell 00 14 (I2EV 5!9• SAN JOAQUuv COUNTY � � 7� /aa6 <br /> PUBLIC HEALTH SERVICE <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION G <br /> APPLICANT TO e a m4'r � PHONE NO (51') 3 7 Z - 9 1 =0 <br /> ADDRESS 443 ('ccHecc 131vd � M 4r I (1ift4 CA 94SS3 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> IF 3 6 Cc't„try C 1. 13 ( v.f. L 0 r �l�' ���_��Cl lT <br /> t <br /> I � <br /> lu 500 S, ligrk” Its( LeP <br /> 41f0 I- A-5tv' 0 Dr, t oP / ,/ CT �iCe- <br /> L36 -`� Luaa(S Rd. Lc ( <br /> LOP <br /> 15OC Shaw Rai. Lop 77 f f <br /> 19 1 29 W, W,: Ihv ? Grove <br /> I <br /> THIS NOTICE 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, END 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 REQUEST. - <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARB ARRANGED BY <br /> CALLING (209)468-0340. OFFICE IIOURS FOR APPOINTMENTS ARE SCIIEDULED 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 END STAFF AT THE EXPENSE OF THE APPLICANT. Tills ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE END POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILESI CORDS SIIALL NOT BE REMOVED FROM THE END PREMISES. <br /> SIGNATURE OF APPLICANT nM <br /> DATE I1 I9 y <br /> SIGNATURE OF RELEASING OFFI IAL BATE <br /> NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> DAM LLmaveo..� NOIITfATQI OM1IH, <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WIZEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DAm: Nmerxo.., Nm MGM DAM <br />