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n� � w� o I <br /> EII 00 14 (REV 5194), SAN JOAQUIN COUNTY • (�'N l <br /> PUBLIC IIEAL'TII SERVICES <br /> ENVIRONMEN'T'AL IIEALTII I)IVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Cc v L r U w PHONE NO Zy <br /> ADDRESS <br /> AGENCY NAME C9vLl., - PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> EL <br /> RECEIVED <br /> 21s w m� iia <br /> AUS -494- <br /> 1 a,o� Yrzfb,� ST ---EN NM€NTAtyyrt��iE�A��L.TH <br /> ----PERM ITtSER <br /> n S G.o r' <br /> CSI S e✓I t—.i�� LO f> <br /> ac(rI, 054 tt <br /> Z 13o W , IiVe�sl�:.�fz3.n (�W QC L3 <br /> Z zo 1 W <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION (EHD) POLICY 1194-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. 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)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND I: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 BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF T118 APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE F14D POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT 09 REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANTv DATE " Z <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> I NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> LES A E Nonnvnax bpm: <br /> PHS/EHD RECORDSMILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDsffli S ARE AVAILABLE FOR REVIEW: <br /> bpm: Nne,e E Nonrnanm Dim: <br />