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l SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AE'PLICANT — PHONE NO /f�l�/35i.C " • 2}8 <br /> AE-DRESS 15 Ye�1 <br /> AC ENCY NAME r dZ-z wlc-rri /1 �>° PHONE NO <br /> ALDRESS <br /> 4/ fiit#*ttf tfi##***k#*i#ttt#tf*i#t4##ttktt*t4ikttttt*t4*tit**t#t4 <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACIA TYPE OF FILE <br /> I/ f !/E�vr.p QL/. 1Zro 2ru�x 7x1 T <br /> 17.Jam( I,--7z�✓Ir �1 p <br /> .9o7a6aox <br /> L(. Z,P rS/.A.cEo fT <br /> `i <br /> A�/ <br /> R, #**#t#Rttittft*#tf##k*#**#tft#tttttttR**t+##tk*tttt#tt**4t###tt <br /> TF'!IS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF <br /> SF N JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN fJ PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> EE, BY CALLING (209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> Th,RU 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 (PARA) IS REQUIRED. <br /> 4- 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 /> S!RVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE ENO POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> .. ..................... .................................................. <br /> SIGNATURE OF APPLICAN DATE w�F�9 S <br /> Sl SNATURE OF RELEASING OFFICIAL C(ATE <br /> Ell 00 141REV 9/961 <br />