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LEAD AGENCY <br />5 _ <br />ept--. 4- 5-j <br />0j11.1.--k-vv‘ <br />C' 1 tr) ! t ' - I. <br />.. <br />wc--D criEll 00 .0 (REV 5/94) SAN JOAQUIN COUNTY <br /> <br />--:—._,r4.°617 AJUBLIC HEALTH SERVICES <ttii •‘-c I-- t - <br /> <br /> ENVIRONMENTAL HEA_LTII DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION --r <br />'ADD <br />AGENC <br />ADDRESS <br />(1) H.. Dam Q-re--// PHONE NO (716 P <br />cipLy. tt_ 6-1-0 v .e( ei4 syz j,z <br />NAME 5 etp Too PHONE NO C <br />(Z42_,--, Pick/AA( iy C-btApt-fty arilittkeric. <br /> <br />h le feuiniu-44- 66-21-/D <br />tbvi- 3 <br />FILE ADDRESS <br />0 <br />C ({(or"--) 4r <br />er-oidA-Irlvf; k--4( tt-on <br />Fvc_1_f177‘ <br />S rz <br />zrlouEoz_ci--litcLis <br />t coG <br />0'71, cr 3 <br />4- " <br />Z)Pkr-ti <br />-e. <br />6.41 m Aids AA6-j-Cer) <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBUC HEALTH <br />SERVICES1/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1/94-007, ORDINANCE CODE OF SAN <br />JOAQUIN 1COUNTY, END PEES 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 />PUBLIC FILES/RECORDS REVIEW is BY PPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br />CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCIIEDULED MONDAY THRU FRIDAY <br />EXCLUDING HOLIDAYS, 8:00 Am TO 12:00 NooN AND 1:00 mi TO 4:30 PM. <br />A PUBLIC RECORDS RELEASE APPLICATION (FRRA) IS REQUIRED.— <br />' <br />i. PUpLic FILES/RECORDS NOT RETURNED IN TI1E SAME CONDITION AS RECEIVED WILL BE CORRECI ED <br />BY TIIE EHID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO TI1E <br />APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br />5. ORIGINAL PUBLIC PILES/RECORDS SIIALLçNOT I3E REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT Ct-t- <br />SIGNATURE OF RELEASING OFFICIAL <br />DATE <br />DATE <br />No PUS/ El-ID RECORDS/FILES ARE IDENTIFIED; <br />DATh! tors <br /> t4e7nF1cnnot, bAni: <br />Plls/ENI? RECORDS/FILES EXIST ON T118 ADDRESS(ES) NOTED. You WILL BE NOTIFIED WHEN <br />RF.coRn1/FILE5 ARE AVAILABLE FOR REVIEW: <br />boam: Ruvuromo hYl NITtlFICATIf1,1 nATII! <br />TOT_ P.02