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3&)41�11JUN <br /> Lit UU 14 (REV 5194) — . SAN JOAQUIN COUNTY -- /I <br /> I -lUllLIC IlEAL'I'II SLRVICLS.� <br /> 994 16 LNVlltONMEN'1'AL HEALTH DIVISION <br /> G <br /> PUBLIC RECORDS RELEASE ASE APPLICATION <br /> APPLICANT T° e pa m of 't- PHONE NO (S 1 c') 3 7 2 - 9 1 0 <br /> ADDRESS '{ sg,� pet4ece 131vd,.. M4rt1',, I CA 9ySf3 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 1$ -76 Cc,t,, f' f C146 13 ( v�f. LO ('�(S;o24 <br /> / 1 o 5 o 0 S, N a r l K sj IZ,(. L 0 P 6�To" aL <br /> 4 11 0 1 K d'A5 fv4'0 01% C S P �3 <br /> 2 3 b 9 Loa tin;3 A4. _ L c F' <br /> 1Z0 1=, LccheFord Lop 7 <br /> [ KOC S 6'gw Ac(. Lop <br /> vo i 119 W, w tl k 4 t G- 1-c ve- L W f lam, <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PU13UC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (E-14D)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 /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE ItOURS FOR APPOINTMENTS ARE SCHEDULED MONbAY YARD FRIDAY <br /> CXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELBASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUOLIC PILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> 13Y THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED To THE <br /> APPLICANT FOR PAYMENT. (SEB EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/R CORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br /> SIGNATURE OF APPLICANT DATE 6/1 19 y <br /> SIGNATURE OF RELEASING OFFI IAL BATE <br /> NO PHS/EHD RECORDS/PILES AR13 IDENTIFIED: <br /> DA1a: RBvigWgb 1Ci NpnFWAT N DAM ' <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DAsni RlavigMiiD��i NOnmcAnW DAM <br />