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1 -_i <br />L^I2y1 4'/ <br />•SAN JOAQUIN COUNTY • <br />PUBLIC HEALTH SERVICES • g�-� 4 G�� <br />EWIIiONNIENTAL HEALTH DIVISION U <br />PUBLIC (RECORDS RELEASE APPLICATION 1 <br />APPLICANT_ Ilrl� PHONE NO L} -S <br />ADDRESS <br />AGENCY NAME I 6�r PHONE NO <br />ADDRESS -? 5 E. Mv(`T- - 9 D-0 _--- - <br />FILE ADDRESS LEAD AGENCY DATE <br />onim iuMYUliv UUU141 <br />PI IBLIC <br />I <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS lDENITF'IED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTALHEAI.TH DIVISION (MM) POLICY .#94-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE .=vIDENCE CODE. <br />1. A MAxmum OF TEN (10) PREif<SE ADDRESSES PER REQUEST. <br />2. PUBLIC FILES/RECORDS RF;IEW is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br />CALLING (209)468-0340. OFFBT 'HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY <br />EXCLUDING HOLIDAYS, 8:00 AM To L':00 NOON AND 1:00 PM To 4:30 PM. <br />3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) 13 REQUIRED. <br />4. PUBLIC FILES/RECORDS liar RETURNED M THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br />BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDIITONAL SERVICE WILL BE Brt T m To THE <br />APPLICANT FOR PAYMENT. (SEE EHL) POLICY 94-007) <br />5. ORIGINAL PUBLIC FIT FCrtt=CORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT <br />DATE �, — <br />crr.i A q7 iu F t)F R FT "F A.CTNry nFF(7AT. DATE, <br />No PHS/EIID RECORDS/FILES ARE MENTIFIED: <br />Dwm Rvw�m *r. i+ofaxAtvr DAnC <br />PHS/EIID RECORDS/FILES EXIST ON TE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br />RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br />Deis Asvorm c' Nmmunae� Wte <br />N' <br />y5 <br />