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0 <br /> LIZ 00 14 (REV 5194) - SAN JOAQUIN COUNTY 0 <br /> PUBLIC IIEALTTT SERVICF,S <br /> ENVIRONMENTAL ILZALTII DIVISION <br /> PUBLIC RE+CORDS ILELE,ASE APPLIC.A.TION <br /> APPLICANT ��� ✓ 1.L. PHONE NO <br /> ADDRESS[ f rr �4 <br /> AGENCY NAME t,c I c �' PHONE NO f <br /> ADD 'RESS Z, S {�e. /Zr 3 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> q S W" K C.Y\ f ug:lc) <br /> I Ll _ mz� ( L <br /> THIS NOTICE IS SUBJECT TO TIIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY(194-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLD-11ONS, SPATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSEES PER REQUEST- <br /> PUBLIC FILES/RECORDS REVIEW is BY APPOINTMENT ONLY. APPoINT'MENTS ARE ARRANGED 13Y <br /> CALLING (209)468-0340. Orr•ICI; HOURS FOR APPOINTMENTS ARE SCHEDULED IvfONDAY TIIRU FRIDAY <br /> EKCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) i3 REQUIRED. <br /> 4. PUBLIC MLES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTL•D <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. TRIS ADE)MONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE CHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REmovED FROM TIIE EHD PREMISES. <br /> SIGNATURE Of•APPLICANT PATE <br /> SIGNATURE OF RELEASING OFFICIAL �` 1 ��"`�` DATE <br /> NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> r3AT R; mmvRRwm 17! NOTWW TMW DAM <br /> PIIS/E14D RECORDS/FILES EXIST ON TIM ADDRM- (F.5) NOTED. YOU WILL BE NOT] ED tiY1[EN <br /> RECORDS/PILES ARE AVAILABLE FOR REVIEW: <br /> n,sn; Rare,r.+RRn•a; NmtmtwtIOW TATO <br /> I <br />