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PUBLIC IIEAI.TII SERVICES �J <br /> -P"YIRONAI[ENTAI, IIFAI,134 DMSIOA ✓� <br /> _ PU13LIC RECORDS RELEASE APPLICATION <br /> APP C f�%AL A- . Uil PHONE NOs�t�l�.ug-3t <br /> ADDRESS u°yi f2.L.1-r 2 Sk h C esal t v4�• �1`� <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> I,I AU A(;EN(X UATB <br /> )J_ (.22Aat ST vm <br /> TH15 NOTICE IS SUBJECT TO THE REQui;tFmENTS IDENTIFIED-IN THE PUBLIC HEALTH <br /> SERVICEWENVIRONMENTAL HEALTH DIVISION(El4D]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) 1 EMISB ADDRESSES rux REQUEST. <br /> 2. PUBLIC BY ESMECORDS REVIEW I9 BY APPOINTMENT ONLY. APPOINniFNTS ARE ARRANGED BY <br /> CALLING (209)46BA340. OFFICE HOURS FOR APPOINT}1ENT9 ARE SCHEDULED MONDAY TIutV FRIDAY <br /> EXCLUDING HOLIDAYS, 3:00 Ara To 12:00 Noon AND 1:00 rM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PARA)IS REQULIMD. <br /> 4. Puouc FILWRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> B7 THE Elk) STAFF AT THE EXPEI+S8 OF TIM APPLICANT. THIS ADDITIONAL SERvICE WILL BB BILLED-TO THE <br /> APPLICANT(FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT EE REMOvEb r[Dnl THB EHD mvmISCS- - <br /> SiGNATUREOFAPPLiCANT i DATE T'�LtLTI <br /> —c <br /> SIONATU EOPRELEASINCOFPICIAL DATE <br /> No PHS/tRD RECORD31F&PS ARE IDPKT1FMI>: <br /> PHSIEHD RECORDSIFILES EXIST ON THE ADORES](ES);40TED. YOU T1'ILL BE NOTIFIED WHEN <br /> RECORDSIFILES ARE AVAILABLE FOR REYIEI9: <br /> TOTAL P.02 <br />