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.� SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT SIL Vii(� h h PHONE NO <br /> ADDRESS 6A- s2-0r-, <br /> AGENCY NAME KPHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> lax1 �c' P.�p-L5� <br /> -7h D <br /> HICI <br /> 1 1 G <br /> P, rl 5vA- 1 <br /> LD. <br /> U -7 5, rI Octc <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(El-ID)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 (I0) PRJ-:MBE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW is BY APPOINTMENT ONLY. APPopmAENTS 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 DATE -c S <br /> SIGNATURE OF RELEASING OFFICIAL DATE- <br /> No <br /> ATE-No PHS/HIED RECORDs/FB.ES ARE IDENTIFIED: <br /> Dim Revmw®m Nmmranaer Nm- <br /> PHS/EIID RECORDS/FII.ES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIF= WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> �-� Dnm Rnwam m Nmmuim,Dwm <br /> I ( / <br />