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� a <br /> Ell 00 14 (RL+'V 5/94 "'r SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTII SERVICES <br /> ENMONML'Nl'AL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �-, ;- ( �Pfi`ONE NO 7-1 �Q +t <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> ij <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL IIEALTII DIVISION (END)POLICY 1194-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STA'L'E WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANOED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU 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 FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECI•ED <br /> BY TILE END STAFF AT THE EXPENSE OF TIIB APPLICANT. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE END POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILESGEORDS��SIIAL)NOT B OVER FROM TIIB EHD PREMISES. <br /> SIGNATURE OF APPLICAN DATE <br /> SIGNATURE OF RELEASING OFFICIAL bATE <br /> NO PHS/EIID RECORDS/FILES ARE IDENTIFIED: <br /> DATE' Rtmowao mrt Ant: <br /> PNS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDSMILES ARE AVAILABLE FOR REVIEW: <br /> DAM Revimmo av: Nmirw nan DArn: <br />