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a <br /> EII 00 14 (REV 5/94) SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTII SERVICES /tGµcc4J lata 3 <br /> RlqVIRONMENTAL IIEAL71711 DI <br /> PUBLIC RECORDS RELEASE APPLIC O ION J <br /> V) APPLICANT �)2 COh.IIlA1�l PHONE NO jff- ?-Z6-lc:) _ <br /> ADDRESS ii <br /> AGENCY NAME / G 2 // s S be/G S pjpNE NO 3Y;' r- Zu*Ioc' <br /> ADDRESS 2.(S w /l Cl /�°��' o <br /> �- I7LE AODRII55 LEAD AUENCY <br /> c <br /> Lo4� � � Oo C911�rvTn r zi// <br /> • 16 C �e� } 134 T- ar cw/Q.�iq) <br /> THIS NO"ITCE IS SUH)6CT TO THE REQUIREMENTS IDENTIFIED IN THE PUBUC N�ALTH <br /> SERVICUS/ENVIRONMENTALHEALTH DIVISION(EHD)POUCY#94.007,ORDINANCE CODE�P SAN <br /> )OAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER iCODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. j <br /> 1. A MAXIMUM OFTEN (11) MFMI3E ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILM- RECORDS REVIEW is BY APPOINTMENT ONLY, AFPO(HTMENTS ARE ARRA QUID BY <br /> CALUNO (209)466-0740. OFFICE MOORS FOR Arro1NTMENTB ARE SCHEDULED MONDAY TIIRUI1 FRIDAY <br /> EXCLUDING HOLIDAYS, 9:00 Ara TO 12:00 NOON AND 1.00 PM To 4:30 PM. <br /> 'i <br /> 1. A PVBuc RECORDS REL Aa6 Armmxr oN (PRRA) is REQuuBD. <br /> 4. PUBIJC FH.ES/RECORDS NOT RETURNED IN TIi6 SAME CONDITION AS RECGiV40 WILL BE CORRECTED <br /> BY TUE EHD STAFF AT THE EXIEMB. OF T118 APPLICANT. THIS ADDITIONAL SERVICE WILL B6 BILLEOiTo TUE <br /> APPLICANT FOR PAYMENT. (SEB EHD POLICY 94-007) i <br /> 5. ORIOINAL PUBLIC FILFSIRSCORDS SHALL NOT BE REMOv6D FROM THE EHD PRE'NL9E9. <br /> SIGNATURE OF APPLICANT DATE <br /> i <br /> SIGNATURE OP RELEASING OFFICIAL DATE li <br /> No PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> PHS/EHD RECORDS/FILES EXIST ON TIM ADDRESS(ES)NOTED. VOU WILL B6 NOTIflEo WHEN <br /> RECORDS/FILES ARE AYAILABL610R REVIEW: <br />