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SE'. -01' 99 ('4ED) Iu. 05 ALISTP; ENGINEERING 'TEL:9,166 295 1823 P. 002 <br /> 30 SAN JOAQUIN couN1''Y <br /> PUBLIC 14EALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTALU C= NG �izzQ P ONE NO (clZS� 2` �—I ro <br /> ADDRESS_! S� �' -Z—g A - 24} NV T <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULT, ADO ESSBi SI�TFS��A1�[E R1� OGRAM OR <br /> $CILITY rr-- TYPE OP FILE <br /> U ST� Lu�j"' <br /> �fUG ror•I� C,A 570` ._ <br /> lr+#int+t+++*t'tY'71'Yrtw#++t++*tl +Y tr 7Y#tk iyv�#+.h•###t#rrt0 Ir Y++txty+v*wst-k <br /> THIS NOTrCE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHO) POLICY 094-007, ORDINANCE CODE OF <br /> SAN J6AQUlN COUNTY. ENO FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEIV 110 <br /> I PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY, APPOINTMENTS ARE PROCESS- <br /> ED 6Y CALLING (209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO'a:30 PM. <br /> 3. A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRA) IS RE4UIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLE;0 TO THE APPLICANT FOR PAYMENT. (SEE r;HQ POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FII.ESIRECORDS SHALL NOT SE REMOVED FROM THE EMD PREMISES. <br /> ..........................&4........o ...... <br /> SIGNATURE OF APPLICAAIT DATE <br /> 1 , -1 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EK 00 14 (REV 9/961 <br />