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EII 00 14 (REV 5/94) SAN JOAQUIN COUN'T'Y `'•• <br /> PUBLIC IIEALTII SERVICES <br /> ENVIRONMENTAL IIEALTII DMSION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT L1 Lt. PHONE NO I gO 3 <br /> ADDRESSC+ Ut <br /> AGENCY NAME t,c_� t c PHONE NO <br /> ADDRESS !20 3 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> �q S W', KGr ull)� 112-6� f U64C� <br /> _T <br /> � m2vJ— , (q �. <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (L-HD) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, L-HD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW is ay APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OrrICE (TOURS POR APPOINTMENTS ARE SCHEDULED MONDAY T11RU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC PILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFr AT TILE EXPENSE OF THE APPLICANT. Tills ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILL'S/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. , <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL Q����^�"�~ DATE <br /> NO PHS/EHD RECORDS/FILES ARE IDENTiriED: <br /> tutw: Revmwno sys tbnnrano+DAM <br /> PHS/EHD RECORDSIFILE3 EXIST ON TIIE ADDRESSES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> Dwrn: Rmmw�e av: NrnW?Cwnrm DAM <br />