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601 00 14 (REG 5/94) SAN JOA(7UIN COUNTY �U Z4D <br /> el'UIILIC HEALTII SERVICES • C( t 3 4j <br /> rLL ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> / �rAPPLICT z I , N` D3iYl� PHONE NO <br /> � . 'HADD S 507L/ EI r—a✓ v — L( K. G-r-o �`e/ <br /> . AGENC NAMES k)f Sk,'lFyveS q J7i)/HE7L PHONE NO C,.r �� <br /> ADDRESS I< .1 mnlZb,n znyo y�<.,` <br /> PF: <br /> FILE ALIS KESS LEAD AGENCY 1 DATE <br /> V <br /> C'4 co 00 ' e o �-L d �Y S •�7v�( >y—A d- I Y`t . 4 Z, `t 3 <br /> GY(ar � w �r- c�� b,..-.L t r•,Jn.�s—�-�i�vv�'� C G.�f(-e- LI-vw� '� <br /> fuckton W d .t s i1 Cw - {az <br /> C✓H I Zl IN bl t H t hf <br /> THIS NO17CE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES%ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY 1194-007, ORDINANCE CODE OF SAN <br /> JOAQUIN (COUNTY, EHD FEES AND SERVICE CHARGE RESOLU-(TONS, STATE WATER CODE, � <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> yr <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENTONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING . (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCIIEDULED MONDAY TIIRU FRIDAY <br /> l'?' EXCLUDING HOLIDAYS, 8:90 AM TO 12:00 NOON AND 1:90 PM TO 4:30 Phi. <br /> 3. A i Pusuc RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED— <br /> 4. PUbUC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORABcra) <br /> 9Y TIIE ERD STAFF AT THE EXPENSE OF THE APPLICANT. TIIIS ADDI IONAL SERVICE WILL BE BILLED TO TIIE <br /> APPLICANT):OR PAYMENT. (SBE EHD POLICY 94-007) <br /> •5. ORIGINAL PUBLIC FILES/RECORDS-SIlAL NOT..@E REMOVED FROM THE EHD PREMISES. <br /> SIGNATUE OF APPLICANT <br /> IDATE c(j <br /> 4 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> ' `"` NO PHS/ HD ftE60RDs/FILB9 ARE IDENTIFIED:DAM AV, ,•--� <br /> .w DAM <br /> PHS/EI4? RECORDS/FILBS EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WIIEN <br /> RFCORnj/FILRS ARE AVAILABLE FOR REVIEW: <br /> DATA, I pevimn,s m N,m.,r nm D.. <br /> 1 <br /> __ .. _.. TOTPL P.02 <br />