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EII 00 14 (REV 5/9410 SAN JOAQUIN COUNTY 4 -7- �7 <br /> PUBLIC HEALTH SERVICES � � � /°z <br /> ENVIRONMENTAL IIEALTH DIVISION LCicc� <br /> nPUBLIC <br /> � RECORDS RELEASE APPLICATION <br /> � <br /> APPLICANT li�y( p��— ^ PHONE NO�(� --7-10 (o <br /> ADDRESS_ <br /> AGENCY NAME PHONE NO <br /> ADDRESS ti <br /> FILE ADDRESS LEAD AGENCY DATE <br /> l L' T (A, ,LerDYt <br /> jos [— �� c! <br /> _ �171 i <br /> sj z. c <br /> -12 <br /> If — 1 � th-- <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/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 ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS 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 (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDmONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES C DS SHALL NOT ! R OVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT( DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> MM RnYVIO ITI NOI mm"DATE: <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> nAIN: R�Oo K: NMIVIC VM DATA: . <br /> ✓�l; � tib,.+_�cl' � - <br />