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T LII UU 14 (REV 5/94)U- SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEAL'1'II SERVICES �A,Li <br /> L'NVIRONMENTAL HEi ILLTII DIVISION v y <br /> PUBLIC RECORDS RELEASE APPLICATION' <br /> APPLICANT ���: Nl ��-G��� - PHONE NO <br /> ADDRESS . <br /> AGENCY NAME c �- 5 Go(- tnl t z;R-�rj G scr - PHONE NO"7 I - <br /> ADDRESS g�-15 E. 1,kPNIrr lv--, 5-' (ay? - -. <br /> FILE ADDRESS LEAD AGENCY DATE <br /> { <br /> �" .� �k3 E • r ,nrw � n <br /> ';. <br /> O 6Z i�G /�7 3S tix 4t <br /> O �F Z S �S1a2 i. <br /> r u AEN'f�,�HE 44- - <br /> PERMITIS <br /> ERVICES <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> € SERVICES/ENVIRONMENTAL 14EALTH DIVISION (ERD)POLICY#94-007, ORDINANCE CODE Ol'SAN L� <br /> JOAQUIN COUNTY, 13HD FEES AND SERVICE CHARGE RESOLU'T'IONS, STA'T'E WATER CODE, <br /> GOVERNMENT CODE AND TT-IE 13VIDENCE CODE. <br /> A MAXIMUM OP TEN (I4) PREMISE ADDRESSES PER REQ6PST. <br /> 2. PUBLIC FILES/RECORDS ItEVIEW Is BY APPOINTMENT Off. APPOINTMENTS ARE ARRANGED BY <br /> : CALLING (209)46$-0140. OF1:IC$ IIOUIts FOR APPOINTMENTS ARE SCHEDULED '!MONDAY TIIRU FRIDAY <br /> EXCLUDING 1-IoLIDAYS, 8:00 AM TO 12:00 NooN"AND 1:00 hM To 4:30 PM. <br /> 3. A PUBLIC RECORDS REL$ASE APPLICATION (MRA) Is REQUIRED. -. <br /> 4. PUBLIC PILES/RECORDS NOT RETURNED IN TIIE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> i 13Y THE EH❑ STAFF AT THE EXPENSE Or THE APPLICANT. THIS ADDITIONAL SERVICE, WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5, ORIGINAL PUBLIC FILES/RECORDS SHALL NOT B8 RENa OVED FROM THE-END PREMISES. <br /> SIGNATURE Or APPLICA DATE (Z-7 Q <br /> " r <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PHS/EHD P.ECORDS/171025 ARS IDENTIFIED: <3 <br /> . btirn: Revrewae>t�r � Nvnr7urtxr bAie: , <br /> 5 <br />+. PHSIERD R>1-CORDS/FILES EXIST ON-T1118 AbDRESS(ES) NOTED.'. YOU WILL BE NOT16ED WHEN <br /> ;I RECORDS/FILES ARE AVAILABLE FOR REVIEW:°- <br /> b�rn: Rmnnwee br: wmpTcAnoN OntR: <br /> i'; <br />