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EII 00 14 (REV 5/94) SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES // <br /> ENVllZONNiEN'I'AI. IIEALTIIDIVISION & - –� y <br /> PUBLIC RECORDS RELEASE APPLICATION q� <br /> APPLICANT <br /> �— PHONE NO <br /> �C!/2�/�G'� <br /> ADDRESSS j o GL�i z—;n 5�o G,- To N <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> c1c 7-01", C4 <br /> r-, J <br /> FNVIPONMEb4 i1C,�,EFr� <br /> PERMIT/SERVICES <br /> THIS NOITCE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED 13Y <br /> CALLING (209)468-0340. OFncE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY T11RU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 ANi TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEAss APPLICATION (PRRA) 13 REQUIRED. i :cr r fir' <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN TIM SAME CDN <br /> it T1IE EHD STAFF AT THE EXPEKSE OF THE Ar!'L,IrJUfT <br /> AFPtJCA1NT POR PAYMENT. (Sts HID PoLry 9µ-0f1I)a, <br /> S. ORIGINAL PUBLIC FILES/RECORDS;HALL NoT 9g itt3fv109 t itbM <br /> SIGNATURE OF APPLICANT I)ATB g �S <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PNS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> Dern! Ravme w rr. Nani1G710N DA-M! .. <br /> PHS/EHD RECORDS/FILES EXIST ON T11E ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> Dern! Ravr miv rr. NonmGtxx+bnrn! <br />