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Eu OO 14 (REV 5194) <br /> SAN JOAQUIN COUN'T'Y IG � g <br /> PUBLIC HEAL17I SERVICES <br /> ENVIR.ONMEN'TAL jjVtL111 DIYTSION <br /> PUBLIC RECORDS RELEASE APAICATIGN <br /> Doyle, Brown 6 Snersen <br /> APPLICANT Grant Guerra; McCutchen, J P140NH No (510) 937-8000 <br /> ADDRESS1331 N. California S1. 5th F1: ' Walnut Creek. <CA 94556 <br /> AGy NAM]ySan Joaquin Co. Pub. Health PHONE NO 1209} 468-3420 <br /> ADDRESS 445 N. San Joaquin St. Stockton CA 95401-0388 <br /> r' <br /> FII.0 ADD S <br /> Lk1AD AGENCY DATI3 <br /> 501 West Lodi Avenue Lodi San Joaquin ounty _ <br /> PublicHealth Services <br /> THIS NOME IS SUBII C1 TO THIS AagUIRJ3MrNTS IDEN711k1FD IN THE PUBLIC FIPALTIi <br /> F SAN <br /> JOAQUINsmAce�C"NTY, WD EES AND SERVICH CHAAROELIRESOLIPFIOHS,, VATE WATERCY#94-W7, ORDINANCE CODE OCODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A Mr X1MUM OF T5N (10) PREMISE ADORMSSES PER ABQUFZr- I . <br /> a. BY APPOINTMRNTLO=; APTUINTMENTa ARE ARRANORD BY <br /> PvELic F71rs>QFCORDS RI3VLfiW is <br /> CALLING (?M)463A3d0. OPPtcs HOURS FOR APPOINTMENTS ARE IC"EDOLED MONDAY THRU PRIDA <br /> EXCLUDINd HOLIDAYS, 8:00 AM To 13100 NonH AND 1:00 PM TO 4:38 PM. <br /> 3, A PUBLIC Recoms RELEASE APPLICATION (PRRA) d kEQURl6D. <br /> 4. Pueuc PIISSIRECORDS NOT RurmwED IN TIIR IAmig coKvrioN AS RECEIVED WILL BE CORMUMT) <br /> RY THE FRIG STAFF AT THE L31ENSE OF THE AITLIVANC. THIS ADDi lONAL SRRVICR WILL RR BILLED To THE <br /> APPLICA" FOR PAYMENT. (S6a PIITJ POLICY 94-007) <br /> 5. COTUOINAL PURLIc ALES/RECORDS SHALL NOT BE REMOVED PROM THE HHD pRDA ISES. <br /> SIONATURKOF APPLICANT DATE l0 3T 4�k <br /> SIGNATURE OF RELEASING OFFICIAL - ))ATE <br /> NO PHSIEHO RECORnSIPILES ARE WiNTIPIM, <br /> am RM 0 M <br /> PHS/EHD REcoRDs/FIL.Es utsT ON T)JA AODREIS(ES)NOTFA, YOU WILL BE NOTIPIEz wIIEN <br /> RECORWFIL13 ARE AVAILA84E FOR RSVTSIV: <br /> do Rwlawu e� <br /> TOTAL P.02 <br /> ��.,1 „� v�t�, naA;LOl:I P�Id(. I , la <br /> 61�fi1 [F, p <br />