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LII OU 14 (IiLV 5/9,-,, SAN iOAQUIN COUNTY /'p er 7 faa6 PUBLIC HEAL'11I SERVICE ENVIRONMENTAL HEALTH DIVISION PUBLIC RECORDS RELEASE APPLICATION Gf' ' APPLICANT foe 9 4 � <y e- PHONE NO (S 10 3 l Z - 9 1 c 0 ADDRESS 'tSBS fctlelc 131vd 114• li'Nez-I CA 94SS3 AGENCY NAME PHONE NO ADDRESS FILE ADDRESS LEAD AGENCY DATE 197- 6 C<•,"t,y CI- S (3 ( v.f. LDP / 11!u jIJ�, v � [0 500 S. Furl", IZd LDP / i• % V%, .fo zCJS� --� 4110 jacl vS lvi 41 pr. L D P 2569 Lua i5 Rd. Lv I ZO L=, L a c K f fo ,-d _ LOP ? L 1500 SLn4w Rc1. LOP ST Z9 W , Wclhyt Greve CH i THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THfi PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION (END)POLICY#94-007, ORDINANCE CODE OF SAN JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, GOVERNMENT CODE AND THE EVIDENCE CODE. 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY Tim FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1.00 PM TO 4:30 PM. 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. 4. PUBLIC FILES/RECORDS NOT RETURNCD IN THE SAME CONDITION AS RECEIVED WILL 88 CORRECTED BY THE END STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE END POLICY 94-007) 5. ORIGINAL PUBLIC FILES/R CORDS SHALL NOT BB REMOVED FROM THE END PREMISES. SIGNATURE OF APPLICANT n DATE 6/1 SIGNATURE OF RELEASING OFFI IAL V DATE NO PHS/END RECORDS/FILES ARE IDENTIFIED: DAM! eme+eo'Ti "mw M*Din, PHS/EHD RECORDS/FILES EXIST ON T118 ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN RECORDS/FILES ARE AVAILABLE FOR REVIEW: DA,e: tMewne n, NMm M. DAM!