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F'I9 FF'C Irl TO ,i d^d"IIBC F ii <br /> EII 00 14 ( REV 5/94) SAN JOAQUIN COUN'T' Y <br /> AK <br /> I' UIILIC IIEALTII SERVICES � / �D �s - IZ � <br /> ENVIRONMENTAL lit, DMSION b6a4 3 " <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT CI. IPHONE NO LA - 3 91 <br /> ADDRESS F Hgq ^ 682. <br /> AGENCY N CID PHONE NO ScL� <br /> ADDRESS 9 LZ � T� orr� �o, IZ � E 5 ► 4 �3 <br /> CPE 9526 9 <br /> FILE ADDRESS LEAD AGENCY / DATE <br /> o &ctCDU_%.D ; U( LI0;- 3 - <br /> o / 'tco kk 216 LLIl W • ChaYler�Al � / I-OP 3s adv r� nbunrccJ S_� - LZ - 91 <br /> 6 v� le S} oII ' InZ� W C4 av4 \fj y LOP <br /> C—C o Iry a77Lt9 E C(�aY4rVktr LOP 3-S <br /> a ChPUrdn I 9A LlZ; 1 �y� S . EI Dorado <br /> 1 - 02 -35-2 (f . Ic z2 Il - Z - o Z <br /> o EjSXov� DLLbF) S S • , 7�rcvQo LOP <br /> THIS NOTICF IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SGR �' ICES/ ENVIRONNIENTALHEAI.TH DIVISION ( EHD) POLICY #94 -007 , ORDINANCE CODE OF SAN <br /> JO ,\ 01AN COUNTY , EHD FEES AND SERVICE CHARGE RESOLUTIONS , STATE WATER CODE , <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I . A MAXIMUM OP" TEN ( EO) PRENIISF, ADORF.SS6S PER REQUEST. <br /> I . ' <br /> 2 . PUBLIC FILES/RECORDS REVIEW IS BY APPOINTI�fE, NT QNL-Y • APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209) 4680340 . OFFICE ROURS FOR APPOINTMENTS ARE SCHEDULED NIONDAY TIIRU FRIDAY <br /> EXCLUDING '•HOLIDAYS , 8 : 00 AM TO 12:00 NOON AND 1 :00 PM TO 4 :30 PM . <br /> J . A PUBLIC RECORDS RBLBASB APPLICATION ( PRRA ) 15 REQUIRBD, <br /> 4 PUBLIC PILES/RECORDS NOT RETURNED IN TIIE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THB APPLICANT, THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPI. ICAI•IT FOR PAYMF,NT . (SEE EHD POLICY 94007) <br /> 5 , ORIGINAL PUBLIC FILES/RECORDS SHALL NOT 136 REMOVED PROM THF EHD PREMISES . <br /> sl , NATURE OF APPLICANT DATE SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PHS/ EHD RECORDS/FILES ARE IDENTIFIED : <br /> PHS/ END RECORDS/ FILES EXIST ON TIH3 ADDRESS( ES) NOTED . YOU WILL Be NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br />