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FRi PSI Geo-phase Environmental Inc. FAX N0. 2139559029+5 I ,. <br /> '`� <br /> -- 0Z a�S <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH 'SERVICES <br /> ENV:[RONMENTA.L HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Src��ve -y r PHONE NO <br /> AGENCY N}1MEC'rY�" 6%'' NE NO <br /> ADDRESS <br /> +�,w#rpiy�{r*yr*wwwwwww*trw#www*.i-+++++#+,r•*,r#wt++**+,�,k#+,kwww++www++++,�ew,4w <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY HYPE OF FILE <br /> c. �S <br /> THIS NOTICE IS SUBJECT TO THE REWIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHD) POLICY X94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE, <br /> I. A MAXIMUM OF TEN ILOJ PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS.BY APPOINTMENT ONLY APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)46$-3420. OFFICE: HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 6:00 AM TO 12:00 NOON AND 1:00 TO 4:30 ISM. <br /> 3. A PUBLIC FILESiRECORDS RELEASE APPLICATION (PRRA) IS REQUIRltiD, <br /> 4. PUBLIC FILESlRECORDS 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 sILLI D TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICAN" _ ATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/961 <br />