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Eli OU 14 (REV 5/943"' SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES AZ+-rz�-7?� /370 <br /> ENVlltONMENTAL IIEALTH DIVISION atu��, :Fo- y <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT yRAV PHONE NO S/O <br /> ADDRESS /.Snel LA ) PA� RD /!7Y P�lAl+7, C�JZiF 9`/s� <br /> AGENCY NAML� PHONE NO <br /> ADDRESS <br /> PILE ADDRESS LEAD AGENCY DATL <br /> z/U3 GU, �4JaV t/ nit/vr- �S/is�yv <br /> 17115 NOTICE IS SUBJECT TO T11E REQUIREMENTS IDENTIFIED IN THE PUBLIC FIEAL'I71 <br /> SERVICES/ENVIRONMENTALIIEALTII DIVISION (EHD) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, Ellb PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> i• A MAXIMUM Or TEN (10) PREMISR ADDRESSES PER REQuESr. <br /> 2. PUBLIC PILES/RECORDS REVIEW IS EY APPOINTMEN'CONLY. APPOINTMENTS ARB ARRANOEO nY <br /> CALLING (209)468-034U. OrFIC9 HOURS POR APPOINTMENTS ARE SCIIEDULED MONDAY THRU FRIDAY <br /> EXCLUDING HOLIDAYS, e:W AM 1'D 12:00 NOON AND 1:00 PM To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (1'RRA) IS REQUIRED. <br /> 4. PUnLIC FILES/11ECORDS NOT RETURNED IN TII9 SAME CONbrrION AS RECEIVED WILL nE CORRECrl!D <br /> IIY 'rim EIID STAFF AT THE EXPENSE Or TIIB APPLICANT. THIS ADDITIONAL SERVIC9 WILL BE BILLED TO TILE <br /> APPLICAN"r toR PAYMENT. (SEE EIID POLICY 94-007) <br /> 5. ORIOINAL PUBLIC FILES/RECORDS SHALL NO n9 REMOVED FROM 1'119 MID PREMISES. <br /> SIGNATURE OF APPLICANT DATE / S <br /> SIGNATURE 017- RELEASING OFFICIAL DATE <br /> FENISMAIDRDS/PILEs ARB IDENTIFIED:I"n .en kkl"I ATUM Hemi <br /> /FILES EXIST ON TILE AbbRESS(ISS) NOTED. YOU WILL BE NOTIFIED WIZEN <br /> E AVAILABLE FOR REVIEW:R�nawnn rn IRmncenan Dem. <br />