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SAN JOAQUIN COUNTY �eV <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONNIENTAL HEALTH DIVISION <br /> PUBLIC <br /> ^ RECORDS RELEASE APPLICATION <br /> V`1 <br /> APPLICANT 6 h rN f PHONE NO 914'6- <br /> ADDRESS <br /> 14'6ADDRESS C- `: •t <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> to a I 1n uSTI is I PNG(?L5� S <br /> 760 Drip-c /,D <br /> 1-1 1G I 5 A irp rt W a., <br /> 0 rARTS „ <br /> iC IA . 5w14 1 <br /> -7 5, r I 0 cti-cn- v, <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EBD)POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EFID 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 Ls BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED 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 EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT Z7WlxAf DATE SS 0,S <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PHS/EHD REcoRDs/FILEs ARE IDENTIFIED: <br /> Mm- Kw m Noma w Mm. <br /> PAS/ERD RECORDS/FII.FS EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> D... MiVfA'®�T. NOIRIGTW DAIH: <br /> 1 (REV 5194) <br />