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1 ] I <br /> � r <br /> FROrl :. Geo-Phase ErvAroriPnental ! FAX NO. 2095590295 PS=F.- <br /> Y I <br /> &A -5 4: ams <br /> I <br /> SAN JOAQUIN COUNTY <br /> PU13LPIC HEALTH SERVICES <br /> EN'VIRONMBNTAL HEArtTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT S Ina& PHONE NO ��' �•2�.3 <br /> ADDR.}vSS�. - <br /> :.ACENCY NAME CRIA' PHONE NO <br /> ADDRESS <br /> �ttv##t,lr�Vw+k*+trtwwwvr,titt,�r,Gir*.*tfttftt#tilr# kttt##t+k,Irit,twkwYf**tttttf,r# t,r <br /> FULL ADDRESS HL]3Ii 2-5!3 NAME/ PROGRAM .OR <br /> FACILITY TXPE OF FILE <br /> =I <br /> . c 5 <br /> k-lr*tft#ttt#tt#t#*#tit## t#�Ft!*W+IPPV'Iii'Yrt3lkYtYi'tlrktt,ttictt,tdr#,kik dr,4w,rw� krr <br /> THIS NOTICE 1S SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL.HEALTH DIVISION (EHD) POLICY #94.007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EMD FEE AND SERVICE CHANGE RESOLUTIONS, STATE WATER COOE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN LtOj PREMISE ADDRESSES PER BEQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> EO BY CALLING 1209146$-3420_ OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONbAY <br /> TWRU >=R1DAY EXCLUDING HOLIDAYS, 8.00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM- <br /> 3. A PUBLIC FILESIRECORD]5 RELEASE APPLICATION (PRRA) IS RV.QUIRED. <br /> d. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL. <br /> SERVICE WILL BE SILL.ED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> S. ORIGINAL PUBLIC FILES/.SECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ..•s•*s♦tet:•*•.•.�s•z.•��t♦ • ••♦♦.•f••...... .. •#tt��aa•••�+� •♦as••••• <br /> SIGNATURE OF APPLICADATE <br /> NT _ / <br /> SIGNATURE OF RELEASING OF=F=ICIAL � DATE <br /> EH 00 114 (RFV 81961 <br />'E <br />