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Ell 00 14 (REV 5/941-- SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVHIONMENPAL IIEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> /1 6� � <br /> APPLICANT )cGc� ,,n l n N,i- 1L L r f gfi75P NE NO ?1�`1 `�{?��' 2+-to <br /> ADDRESS <br /> AGENCY NAME PRONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> THIS NOTICC IS SUBJECT TO TIIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL IIEALTII DIVISION (EHD) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID FEES AND SERVICE CUARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)466-0340. OFFICE IIOURS FOR APPOINTMENTS ARE SCIIEDULED MONDAY TIIRU 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 BB CORRECTED <br /> BY THE EIID STAFF AT THE EXPENSE OF TIIE APPLICANT. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EIID POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES ECORDS 911AL NOT 0 IOVED FROM 7'116 GHD PREMISES. / <br /> SIGNATURE OF APPLICAN DATE a cJ' X1.6 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PIIS/EIID RECORDS/FILES ARE IDENTIFIED: <br /> Dw: Ilmew�o m munan nn: <br /> PHS/EIID RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/RLES ARE AVAILABLE FOR REVIEW: <br /> D.n: 1lmewuo ST, tkmmanm DAM <br />