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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT' P�c'TE� J - `-V - PHONE NO <br /> ADDRESS Cl�;� LAC\ml� <br /> —' <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME PROGRAM OR <br /> 5`te FACILITY TYPE OF FILE <br /> ` E~c'Z N . C.L��=F P.�?C \3Z.�'= I'LCL;2rc Tom'V�cK�►JG ccs,:, C/�Mtty FtT�G..i �=."�5' �"/� <br /> C Ka G c E -t P <br /> (ZO LLI��—`3iT� 3w BLDG �tl A <br /> •�'z5 _E __ E\—EN)IaQ c�\ S c. `tRAcv Pc`�CE �Ac�L�'c�r tt Us 'c <br /> l-\ ASV SAO —�Rct:,cN CAw�P Mc�:tE� <br /> cm- Mor.;tct�t_tFEtt�� LJST <br /> ✓\G'l tom? . h�AtN tvnAU'p_ A t�t�ANtEcA �t�ELL- `IST. �. %7 i� 1 <br /> J LA` <br /> 4�oC' MAw1�pCF�A Q-r �� t7a.�ZA Ci�/a¢t�2 =�ytCE Cc�::;CArv�\�3R-ilOtJ <br /> \Sc�N `�\ CSA\�' AVE _ NiAQLEY Cc�:LitvG "ccw�.tZ �-v::-crarnt*:►r.-cco--���,,,��.�,� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> it. PUBLIC FILES/RECORDS 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 BILLED 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 /> . . . . . . .. .....+........... . ....a+ s a +.. ..........a +a++ ......... <br /> +a+a r+++++ <br /> SIGNATURE OF APPLICANT �.i .,r��► ,.� _DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />