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Ell UU 14 (RLEV 5/94) � SAN JOAQUIN' COUN'T'Y <br /> PUBLIC IIEAL'I7I SERVICIS �5 <br /> ENVIRONMENTAL IITALTII DIVISION <br /> PUBLIC RECORDS ItE LEASE APPLICATION <br /> APPLICANT 5i A,-4 �- PHONE NO <br /> ADDRESS r I <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATA 1 <br /> i <br /> i <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTFI DIVISION (EHD) 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 IIOURS FOR APPOINT,.MENT5 ARE SCHEDULED MONDAY TIIRU FRIDAY f <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 32:00 NOON AND 1;:00 Pm -i'O 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA)i 13 REQUIRED. <br /> 4. PUBLIC PILES/RECORDS 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 1 <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECOR SHALL NqT 8E MOVE FROM TIIE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE �I / <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> DAM Rwnn"n art NvnVlcrrHw+ 17Ar-. . <br /> i <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/1'11.Es ARE AVAILABLE FOR Rizmcw: [ <br /> IJArn: RTmwr lD im. "InV-%M"DAM J <br /> r <br /> v 1 <br />