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11-02-1995 05:13PM FROM TO 1818'�7126333 P.02 <br /> EH 00 ;14 (REV 5194) SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISIONS Cl(0- <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPucA NT /4,4tz / t "�HONB No <br /> ADDRPSs Ss c �#aoo cc�oad �,�� ..4, cts - c? s <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> EILH ADDRESS LEAD AGENCY DATE <br /> i)Sd,,44 Fe- -P±c2-�zr PrgeRLOQCR ? _ _ 1zle-$ 1gs <br /> oCJ-�40AJ c A� <br /> THIS NanCE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL...HEALTH DIVISION(EHL))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 /> L. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUI SLIC FILrESIRECORDS REVIEW Is I;Y j6PPOINTMENT ONLY. APPOINTMENTS ARM ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMEN"IS ARE SCHEDULED MONDAY TiiRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12.00 NOON AND 1.00 PM To 4:30 FM. <br /> 3. A PUBLJC RECORDS RE!EASE ApPL1C! oto (Pa RA) 13 REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN TILE SAME CONDIYION AS RECEIVER WILL 138 CORRForr? <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL.SERVICE WILL BE BILLED TO THE <br /> APPLICANTI FOR PAYMENT. (SEE 2HD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PNSIEHD REcoRDS/T=ILES ARE IDENTIFIED: <br /> OA77: I Rmnirsn fY: Nauvw-&" +DAA: <br /> I'HS/EHD RECORM/FILES EXIST ON THIR AIDDREM(ES) NOTED. YOU WILL.ITE NOTIFIED WISEN <br /> RECORDS/FILES ARE AVAILA13LE FOR REVIEW: <br /> DAM. i7: t4wnohrn. <br /> TOTAL P.02 <br />