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EII UO 14 (REV 5/94) SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> /lrc 13S3 <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> APPLICANT PHONE NO <br /> ADDRESS - <br /> AGENCY NAME GTc.rce-- PHONE NO <br /> ADDRESS 4a15 E. <br /> CA <br /> FILE ADDRESS LEAD AGENCY DATE: <br /> 42i <br /> a <br /> 1 5W; 1-2 l <br /> ,p 3v N <br /> O (0 <br /> V J V L <br /> HE 411 ---- <br /> PERMIT/,SERVICES <br /> THIS NOTICE IS SUBJECT TO THC REQUIREMENTS .IDENTIFIED IN liTHE PU13L1C HEALTH <br /> SCRViCC511;NV1RONMCNTAL HEALTH DIVISION (13141))POLICY#194-007, ORDINANCE CODE917 SAN <br /> JOAQUIN COUNTY, E14D FEES AND SERVICE CHARGE :RCSOLU71ONSjSTATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. . ; <br /> 1. A MAXIMUM OP TEN (10) PRF-MI513 ADDRESSES PER REQUEST. <br /> R <br /> I� <br /> 2. PuBLTc FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0140. OFFICE uouPs FOR APPOINTMENTS ARE SCHEDULED MONDAY TIIRW FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM To 4:30 PM. p <br /> 3. A.13UHLIC RECORDS RELEASE APPLiCA-rioN (MRA) is ItEQU1RED. <br /> 4, I UBLIc PILES/RECORDS NOT RETURNED IN TIIE SAMECONDfT10N AS RECEIVED WILL BE CORRECTED <br /> BY THE 13-1413 STAFF AT THE EXPENSE OF TIIE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO TIIE <br /> APPLICANT FOR PA'YMEN'T'. (SEE EHD POLICY 94-007) <br /> S. ORIOINA I:PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM TIfO END.PREMISES. <br /> SIGNATURE OF4PPLICA DATE lc� z 7 Q <br /> SIGNATURE Or RELEASING OFFICIAL DATE <br /> NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> hAIA: R9V MMil!Tt NTnnCA1107 DATIR <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED, .YOU WILL BE NOTI,P'IED WREN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> porn: Rnvmwao IT! 4CMFICAMM DAT8: - - <br /> N <br />