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Ell 00 14 (REV 5/94) SAN JOAQUIN COUN'T'Y � Joa� ly <br /> PUBLIC HEALTH SERVICE'S <br /> ENVIRONMENTAL Ill%ALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Gav,S S%�,� Pf-IONE NO <br /> APPLICANT SSS 6/f (� <br /> ADDRESS ' ciT ��L7 PRONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE ^�` <br /> h v <br /> 7'17 LY h/ // " S% T(-'(c% SdA Svi�4 (G- yn•�C��`15i.-c n} JS .2 L, /��� <br /> THIS NOTICE IS SUIIIECT TO 'THC REQUIREMENTS IDENTIFIED IN THE PUBLIC IIEAI:TH <br /> SERVICES/ENVIRONMENTALHEALTII DIVISION (EIID) POLICY #94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER COOL, <br /> GOVERNMENT CODE AND T14E EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (A) PREMISE AbDRESSES PER REQUEST. <br /> 2. PUDLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED DY <br /> CALLING (209)463-0340. Orr•Ics uouas roa APPoINTMBNTS ARB Scn GDOLED MONDAY n+au FRIDAY <br /> EXCLUDING IIOUDAYS, 3:00 AM To 12:OU NOON AND I:OU PM TO 4:30 rm. <br /> 3. A 1'uBLlc RECORDS RELEASE APPLICK110H (I'RRA) IS REQUIRED. <br /> 4. PUDLIc PILLS/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL DE CoRRL•CiED <br /> BY TIIE EIID STAFF AT THE EXPBNSB OF TUB APPLICANT. T1113 ADDITIONAL SERVICE WILL DE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE END POLICY 94-007) <br /> 5. ORWINAL PUBLIC FILES/RECORDS SHALL NOT DE REMOVED FROM THE EHD PREMISES. ' <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE Or RELEASINO OFFICIAL DATE <br /> INO PHS/EHD RECORDS/FILES ARE IDENTIFIED- .. <br /> b ■ennp m NonnGnaN b.�, <br /> L <br /> PHS/EHD RECORDS/L•ILES EXfSI ON TIIE�bREs3(ES).NO1EU. YOU1wtL B&-NOTIFIED WHEN <br /> REcDRns/FILES ARE AY,IILM14 FOR REVIEW: f' <br />