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I <br />(10 <br />EFI Op 14,K SIN) SAN JOAQUIN COUNTY ! ' <br />PUBLIC HEALTH SERVICES t <br />ENVIRONMENTAL HEALTHAIYISION <br />i <br />-PUBLIC RECORDS RELEASE APPLICATION <br />APP41C . 7 c i S <br />c� P90NE NO (ZC P0S(Ai —0' 2!q3 <br />AD3�RBSS I �`� 37 VEM E n4 A -I <br />AGFINCY tt <br />P ON NO <br />ADDRESS <br />LEAD AGEN_Cy <br />t ( <br />i <br />• i <br />DATE <br />THIS N07'I. IS St1WECT TO THg REQUIREMENTS IDENTIFIED IN THE PUBUC HEALTH <br />SCRVICES/EN RON1lIiNTALHEALTK DIVISION (F -14D) POLICY. #f 4.007, ORDINANCE CODL OF SAN <br />JOAQUIN CO NTY, EHD -FEES AND SERVICE CHARGB RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT' CODE AND THE EVIDENCE CODE. <br />AM 'IMUNI OF TEN (10) PREMI313 ADDRESSES PER REQUarr. <br />2• FveGC,FILES/IZIrCORDS RfiVI$W Js BY AFpOINTMENT ONLY. APPOINTMENTS ARE ARRANOED BY <br />CALLINCI (20?)468-03400 OFFICE tIOURS FOR APPOINTMENTS ARE SCREDVLCD MONDAY THRU FRIDAY <br />EXCUJDING HbLIDA YS, 8:00 AM To I2:00 NOON AND 1:00 PM TO 4:30 Pbt. <br />3• A PUOIIC RF -COs S RELEASE APPLICATION P <br />I ( RRA) 13 REQUIRED.' <br />4• PUBLJCIFILES/F=ORDS NOT RETURNED IN TIM SAME CONDiiI?N A3 RECEIVED WILL BE CORRECTED <br />BY THE' EHD;!I!AFF AT Y1;E EXPENSE OF THE APPLICANT, T1113 ADDITIONAL SERVICE WILL BE BILLED TO THE <br />APPLICANT FOR �AYMENT, : (SF <br />B EHD POLICY 94-007) <br />s• ORIOINIPUBLIC mLES/RECORDS SHALL NOT 89 R IO'(Eb FROM THE EHD PREbtISES <br />I; <br />SIGNATURE 0 APPOCANT— f r4, - <br />DATE 3 <br />SIGNAT:URE:OF RELEASING OFFICIAL <br />DATE <br />NO F.EHSIj:HDIR. COROS/FILES ARE IDENTIFIED: <br />ban, Ravrewan srr <br />__ NQnnCAna+ Dara <br />PHS/EHD RECORDS/FiLm EXIST ON THB ADbRESS(ES) NOTED. YOU WILL BE NOTIFIED WHLY <br />RECORDS/FILES ARz AVAILABLE. FOR REVIEM. <br />D.nr <br />R+nrow evr <br />----Anp., D.►rr. <br />