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v • <br /> -7 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATIOON <br /> APPLICA1;_41E411PHONE NO <br /> ADDRESSo pHONENOAGENCY �-y3 T yUS£rn T <br /> ADDRESS —� � <br /> +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ <br /> BUSINESS NAME1 PROGRAM OR <br /> FULL TYPEE <br /> /,�� FACILITY -� <br /> Uf �9a .r!o G <br /> 75 LP/J7GYrL <br /> +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN 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 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:OQ NOON AND 1:00 TO 4:30 KA. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> FILES/RECORDS4. PUBLIC <br /> VED WILL <br /> CORRECTEDBY THE EHD STAFF AT THE EX ENSE OF TIHE APPLICANTE CONDITION . I <br /> TH 5 ADDil IGtJALBE <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 0071 <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT �o,_) DATE _jS _ <br /> SIGNATURE OF RELEASING OFFICIAL `'��DATE�_ <br /> EH 00 14 (REV 9196) <br />