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EII 00 14 (REV 5/94) f 1! sAN JOAQUIN COUNTY <br /> (( � PUBLIC IIEALTII SERVICES <br /> ) <br /> L14VIItONMENTAL IIEALTII DIVISr( 11 9 `� <br /> PUBLIC4ECORDS RELEASE APPLICATION <br /> APPLICANT SJe Q� 'IA �a� PHONE NO Z�y� 3yC 'a roo <br /> ADDRESS l <br /> AGENCY NAME rnLo r''` sx.. , PHONE NO <br /> ADDRESS ti)eweG)---� 1 C/wi 1 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> a70) ,1 mwz,N C�� - Unrw � , /mac /,h d (� w a r< 3 - z ys <br /> 7y�3 1»a.k' c&7s3- Z -j1— <br /> I <br /> �I <br /> I <br /> , <br /> '1'IIIS NOTICE IS SUBIECT TO;ITHE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EI4D) POLICY 1194-007, ORDINANCE CODE OF SAN <br /> 10AQUIN COUNTY, EHD FEES ''AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> f , <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> n' <br /> 2. Puouc FILES/RECORDS REVIEW is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED By <br /> CALLING (209)468-0340. OFFICES HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM,TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> . I <br /> 4, PUBLIC FILEVRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM TIIE EHD PREMISES. - <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PHS/EHD RECORDS/FILES ARE!IDENTIFIED: <br /> n.rn: aavmaev IV; tft , =II <br /> PHS/EHD RECORDS/FILES EXIST ON TIM ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DIIe, Ral,wnv m tkmnelmn Awte <br /> it <br /> i <br /> i <br /> I, <br />