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i Ell OU 14 (ItEV 5 SAN JOAQUIN COUNT <br /> PUBLIC IIEALTII SERVICL5 <br /> ENVIRONMENTAL HEALTH .DIVISION <br /> PUBLIC R.ECOILDS RELEASE APPLICATION <br /> APPLICANT — <br /> �1F1 •ZJ �Ca�Z-`�1 <br /> Anne. bre�{. PHONE NO ( <br /> ADDRESS Z ern t, i a r "` I! t <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 2-!41 <br /> �C <br /> 2"A-1 r <br /> 7 c <br /> a I or <br /> L700 (w Mn ACCO - <br /> THIS NO•[7CE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEU- AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (I0) PREMISE ADDRESSES PER REQUEST. _ <br /> r ' <br /> 2. PUBLIC FILESIRECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE IIOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU 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 (PARA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRUcTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO TIIE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILESIRECORDS SHALT.NOT BE REMOVED ROM THE EHD PREMISES. — <br /> SIGNATURE OF APPLICANT DATE (C 5 <br /> SIGNATURE OF RELEASING OFFI IAL DATE <br /> NO P14S/EHD RECORDS/FILES ARE IDENTIFIED: <br /> DAM RFAIrAmn■7s HaninCA"m Darn: <br /> PHS/214D RECORDS/FILES EXIST ON THE ADDRESSES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DATRI. Itav" nn xT.. H=FICATMH DATA: <br />