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10-21- 9 10:0a-iN FRO,- <br />, <br />V <br />OC1 11999; <br />19259432366 P.EQ <br />qj — <br />ENVIR0NIvIEN-IA--.-.•rALTH SAN JOAQUIN COUNTY <br />PERMIT / SERVICES PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />r1.,..,.,.:).1,.... 10n,L. v. lxti�-tv�",'_ PHONE Ito <br />AGENCY <br />piR.i. ADDR_ag,S BUSINESS NAME/ PROGRAM OR <br />FACILITY TYPE OF FILE <br />r a <br />*f Rt#t** * **it***fx*YRtfW ** #!#*#O i's•R T*x'=�***x**R*t**##R <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 JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENt CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF TEN- SLM PREMISE ADDRESSES PER REQUEST <br />2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br />ED 6Y CALLING 12091468-3420. 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:'FILESIRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br />4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WR;L BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br />S. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />+w...r+++sr....r+.aa+rw+ ♦+aar. ..�.. rprww...0 rr................+rrr rase <br />SIGNATURE OF APPLICANT DATE__j: c 9 <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />EH 00 14 VIEV 9196) FAX (209) 464-0135 <br />T <br />TaTpL P. or-, <br />