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x:11 00 14 (knit 5194) SAN JOAQUIN COUNTY <br /> PUBLIC UEAM-II SERVICES <br /> ElV'MONAIENTAL REALTII DIVISION <br /> c� IYUBLIC RECORDS RELEASE APPLICATIONI� <br /> APPLICANT (_e, LQc YUt � E�G�E PHONE NCI Ly�am) �P� -6 ZCf <br /> ADDRFSSCIyiL C AgP-^Ci�> .. (off f b. SF•. � .Zo�R CA 11� <br /> AGENCY NAME T IONP NO � T— <br /> ADDRESS <br /> FILE ADDRESS LEAD'AGENCY DATE <br /> a (� <br /> I -IS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SrRVICL•S/ENVIRO(JMEATAL REALTH DIVISION (EHD)POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. RHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNNtr3aT CODE AND THE EVIDENCE CODL. <br /> i. A NIAXLn1UM OF TEN (10)PkFIASE ADURFssu PER REQUEST. <br /> _. I USLIC FILESfRECORDS REVIEW is BY APPOINTMENT QNI y. AFPORMIENTS ARE ARRANGED BY <br /> CALLING (209)465-0340_ OFFICE HOURS FOR APPOINTbfEN'M ARE 9CHEOULED MONDAY THRU FitmmY <br /> EXCLUDING HOLIDAYS, 5:00 AM TO 12:90 NOON AND 1:00 phi TO 4:30 PM_ <br /> 3. A Pusuc RECORDS RELEASE APFLOCA77ON (PRRA)is REQUIRED. <br /> 4. PUGLIC FILES!R I;CORDS NOT RETURNED IN THE SAME CONDITION A9 REGE7VED wiLL BE CORRECTED <br /> BY TILE EVD STAFF AT THE EXPENSE OF THE APPLICANT. TINS AODfi'(ONAL SERVICE WILL BE BILLED TO Ti3E <br /> -PPLICANT FOR PATL1eNT. (SEE EHD POLICY 94^007) <br /> S. ORIGINAL PUBLIC FILES/RX- ❑ L N T R onD.FRat Tme EI1D PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SMNATUREOFRbLEASINGOFFICIAL DATE <br /> 1.10 PHS'EHO RECoADs/Fuzs ARE IDENTIFiem <br /> PFISJEIiD RF!-'QADS!FILES F.XLST ON 751E ADDRESS(FS) NUrFD. YOU WILL BS NOTIFIED WItBN <br /> R--CORDS/PILES ARE AVAILABLE FOR REVIEW: <br /> Llhn: Av.e.+e.e: tbnwiaw��nn <br /> Y. <br /> y <br />