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-FOP; TO� 149 %-333 P.02 <br /> `yEll OO Ii (1G81 � ow <br /> 1QC ?UVTY <br /> PUBLIC HEAL11I SERVICES <br /> ENMONMGNT'AL 11EALT'II DIVISION <br /> PUBLIC RECORDS RELEASE APPLICA.T'ION/1,� <br /> APPLICANT-2" — [�Y — - PHONE NO C 4) �p ` -8 <br /> � 00 <br /> ADDRFSSCy�L Ca re Thi 1. #CJJC� a� <br /> AGENCY NAME ;ONE D <br /> ADDRESS _ <br /> ELLE ApD?ES LEAD AGENCY �A <br /> 1I:I5 NOTICF IS SUBJECT TO THE REQUIRFRUNTS IDEN11FIFD IN TIIE PUBLIC HEALTH: <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EBD)POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUL'I COUNTY, RHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER COD&, <br /> GOVERNAt&NT CODE AND 114E EVIDENCE CODE, <br /> L A MAXIATUM OF TEN (10)PAPJ.USE ADDRESSES PER REQUEST. <br /> -1111LIc FILES/RECORDS REVICW is BY APPOINTMENTON Y. APPOwmiENTS ARE ARRANGED BY <br /> CALLING (209)4654340. OFPocE HOURS FOR APPOINTA}Ei7TS ARE SCHEDULED MONDAY TURU FRIDAY <br /> EXCLUDING HOLIDAYS, 5:00 AN TO 12:00 NooN AND 1:00 FA1 TO 4:30 pm- <br /> 5. A PUBLIC RECORm RELEASE APPLICATION (PRRA) 13 REQUIRED, <br /> 4. PUJI..IC FILUIRGCORDS NOT RETURNpD IN TIIF BAA'H CONDITION A3 RECEIVED WILLBp CORRECTED A` <br /> B7" ME END SThFF AT THE IOMNSH OF THE APPLICANT'- TIDE ADDITIONAL SERVICE WILL EE BILLED TO TI16 _t> <br /> ,PPLICANT FOR PAYMENT. (SEE EHD Poucy 94.007) <br /> 5. ORIGINAL PUUL,c F-ILESIRE• i L N P 11 gOVED.FROAI THS E1ID PREMLSBs. r <br /> c <br /> SIGNATURE OF APPLICANT DATE <br /> SIriNATUREOrRELEASINGOr-FICIAL pA�' IS S <br /> NO PHS.'EHO REcoADSIFILEs ARE IDENTIM90. <br /> tt. <br /> 1L' RE�coRDs/FILES <br /> R4fCOADSIFILES FXISf ON 771E ADORESS(FS) NUMD, YOU WILL BIS NOTIFIED WIIBN AREAVAILABLE POR REVIEW:: R. <br />