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TCi 4';4713:_2 R.1_I_ <br /> 1 <br /> 1-11 UU 14 (REV 5194) SAN JOAQUIN COUNTY <br /> Z <br /> PUBLIC IIEALTII SERVICES �s-I <br /> EN`VLRONTIENTAL IiL;ALTII llMS10N <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT }1orylo S -/CLICK PHONE NO <br /> ADDRESS F <br /> AGENCY NAME PHONE NO <br /> ADDRESS 9,L"2. rr, 14GI— <br /> s>+Dc-K+cw% , CH 95 29 9 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> L4 Le -a rle y LOP s Q Closs <br /> Arco kk- 2.169,� Li Loi W- 3\AKkf\j � LSP Sk c Ln ch -1 <br /> �e�� 4e S}�o 1 I; (•C LW . CkaAe►-Wg y LOP e-O Ae I S 11y S-3.t -i�19 <br /> L p P +1 16) <br /> �hPUran 3B3�Z 13�t� S • EI Dorado Lc�p --o43D2 I-L-Z -91 <br /> E�xor` D13� ; 166S S -Z1 -9L <br /> THIS h'OTICF IS SUBJECT TO THE REQUIRENIEN"rS IDENTIFIED IN THS PUBLIC HEALTH <br /> SFRVICCS!ENVIRONI`1GNTALHEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF SAN <br /> )(,),%oUIN COUNTY. EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERN`IENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIIAVK4 OF TEN (10) PRFih11SF, ADDRESSU PSR REQUEST, <br /> 7. PUBLIC FILES/RECORDS REVIEW Is BY APP0ININJENT ONLY. APPOINTNIENTS ARE ARRANOED BY <br /> CALLING (209)468-0340. OFFICE IIOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING'HOLIDAYS, 9:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3 A PUBLIC RECORDS RELBASB APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN TIIE SAME CONDITION AS RECEIVED WILL BE CORRCCTGD <br /> RY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDrrIONAL SERVICE WILL BE BILLED TO THE <br /> APPI.ICArrr FOR PAYMENT. (SEs EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIr3NATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Nrl PHS/EHD RECORDS/PILES ARE IDENTIFIED: <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDGTILES ARE AVAILABLE FOR REVIEW: <br /> D.rv• Rr,Tw oo sr• N—MlAn—DAnl: <br />