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EIl 00 14 (REV 5194) SAN JOAQUIN COUN'T'Y <br /> PUBLIC IIEAL'1'II SERVICES ]� <br /> ENVllZONMEN'T'AL IIEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Anne, PHONE NO <br /> ADDRESS ZF►ri('7�1.t iI(�r?t1��/('� C�l2fTl'� ��U!'�"(' z� � �/I i1 ►'(1 f'I "/��r l�� / A . '3/f O <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE ' <br /> �)- o [I tp.� Ic?r11lil OLC ag.�o <br /> © U r- q., <br /> P= - �� l 1 2 1 ILvio ll <br /> 2(0cj <br /> 7 ',n ro <br /> i1 a-9 6 0 <br /> 1'Fi1S <br /> NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMEN'T'AL HEALTH DIVISION (END)POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WA'T'ER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (IO) PREMISE ADDRESSES PER REQUEST. _ <br /> 2. PUBLIC FILES/RECORDS REVIEW is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. Orr•IcE HOURS FOR APPOINTMENTS ARE .SCIIEDULED MONDAY TIIRU 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 /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY TIIE EI-ID STAFF AT THE EXPENSE OF THE APPLICANT. Tills ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIOINAL PUBLIC FILES/RECORDS SHALL NK BE REMOVED ROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANTVIAL <br /> ` DATE �0 G r <br /> SIGNATURE OF RELEASING OFDATE <br /> NO PNS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> DArn: RmlRwno Zvi NanFICATaN DAM . <br /> PIIS/EI1D RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DAM Rmiswao Ir. NanrimrnN DA-m- <br />