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s Ell UU 14 (ItEV 5/0 SAN .IOAQUIN COUN'1'10 I, p' /Ue-t" 9$-I <br /> 1 PUBLIC HEAI,1'11 SERVICES <br /> ENVIRONAIEN'1'AL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> z. <br /> e <br /> AYIILICANPHONE NO 2�� -3 yK Z Z OJ <br /> ADDRESS_ <br /> AGENCY NAME PRONE NO <br /> ADDRESS <br /> FILL ADDRESS LEAD AGENCY DA'1'li <br /> Z: qIn <br /> i- i2i2el�r <br /> oll' Lq° �£lt <br /> £ /`i <br /> -`b C( 1Lt Ft.0 11!:3 (o1)I.et 1^'/ /CU� <br /> a:E L N 7,1 ,�r4 J _ IKc cr / ly/w/ �a'1 k� Mi <br /> &i C Lb �Jk aR A ' <br /> IDIy n) LI1 (1�ruc� y S1Vrr Thy <br /> TIIIS NO'T'ICE IS SUBJECT '1'O TITE REQUIREMENTS IDENTIFIED IN TME PUBUC IIEAUHI <br /> SERVICES/ENVIRONMEN'1'ALIIEALTII DIVISION (EIID) POLICY#94.007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID FEES AND SERVICE CHARGE RESOLUTIONS, SPATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PRHMISU ADDRESSES PER REQUCS'r. <br /> 2. PUBLIC FILES/RECORDS REVIEW IS RY APPOIN'T'MENT ONLY. APPOIN'I MENI:S ARE ARRANOED BY <br /> CALLING (209)468-0340. OrFICE 1101IRS FOR APPOINTMRNTS ARE SCIIEUULEU MONDAY 7'IIRU FRIDAY <br /> EXCLUDING IIOUDAYS, 801 AM TO 12:00 NOON AND 1:001m1 To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PI(RA) IS REQUIRED. <br /> 4. PUBLIC PILES/11ECORDS NOT RI-MURNEU IN '11113 SAME CONUrrION AS REC1i1VIa) WILL Bli CURB ECI'IiU <br /> BY TIIE EI-ID STAFF AT THE EXPENSE OF THE APPLICAN'r. TIIIS AUUr1'IONAL SERVICE WILL 116 BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EIID POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILCS/RECORDS SIIALL NOT BE REMOVED rROM 771E EIID PREMISES. <br /> SIGNATURE OF APPLICANT DA'Z'E <br /> SIGNATUREOF RELI?ASING OFFICIAL DATE <br /> NO PIIS/EIID RECORDS/PILES ARE IDEN771t1EU: <br /> Mtn. Nmtnwtnw DIM <br /> III IS/1iIID RECORDS/FILES EX ISI' ON-ri IL AUURESS(ES) NOTED. YOU {SILL IIE NOIi FIEU (v11RN <br /> I(4'.CORUS/FILES ARE AVAILABLE FOR REVIEW: <br /> horn• Anmwnn n� ILmncentM Untnv <br />