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SAN JOAQTJ N COUNTY S-$�- <br /> 3LIC HEALTH SERVICES <br /> I ENYVIRONTMI N'TAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT i C I`� I c_c-Y� PAONE NO O t <br /> ADDRESS <br /> AGENCY NAMEISL l M� -L,1-2-_ 6z PHONE NO7-01-131-t 9- -3 � <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> _ <br /> THIS NOTICE IS SUBJECT TO "FIE REQUMEIIM TS IDENTTFdED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONIVIENTA.L HEALTH DIVISION(ESM) POLICY x`94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE NATER CODE, <br /> C,OVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (14) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW is BY.APPOINTMENT'ONLY. APPOWTNIENNTS ARE ARRANGED BY <br /> CALLING (209)46$-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY <br /> ExcLUDING HOLIDAYS, 5:00 AM TO 12:00 NOON AND 1:00 PM To 4:30 Pti9. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. Punic FfLES/RECORDS NOT RETURNED IN THE SAME CONDMON 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 FU-ES/RECO SHALL NOT BE REMOVED THE EHD PRF1v mEs— <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE, <br /> No PHSIE 4D RECoRDs/FILES ARE IDENTIFIED: <br /> DATM: Rsvmw®RT: TiorgtcsttaN Dwra: <br /> PHSIEHID RHCORDS/FII.ES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIF WHP.N <br /> RECORDSIFILES ARE AVAILABLE FOR REVIEW: <br />�:. DATE Ravmw®►Y: t#MMUttON DATE' <br /> H 0014 5194) <br /> `�I�il�fs <br />