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FxPcolrE <br /> 99-ate� <br /> received <br /> SAN JOAQUIN COUNTY SFP 14 q <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE? APPLICATION <br /> APPLICANT PHONE NO__f I <br /> ADDRESS <br /> AGENCY NAMB GE PHONB NO _, <br /> ADDRESS <br /> kt***r4tttt*tt*ttt*ti*tx#k*t+Sttk**t*tt*tr2t*2**tKiFR *+*f+�t� r <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> 3�E ntsri�arr��.v .osrTi�-rr suflr__c'?7rJ.�f.a- _ <br /> �3n Lmm�i nJ . O <br /> rtttttttti**tttrtt##txx#ttk***#t2k##t****tt+##ktitttkt4rrtt*t*t+t <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-1AOI, URDINANL;t UUU6 Vr <br /> SAN JOAQU.IN COUNTY, 6HD FEE AND SERVICE CHARGF RFSnI IITInNS, STATE.WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE.. <br /> 1. A MAXIMUM OF TEN 1101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:D0 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) 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 /> SERVICE WILL 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 /> .................... s.. ... •..a...............e•e.•...........• <br /> SIGNATURE OF APPLIC a... DATE %/y <br /> SIGNATURE OF RELEASING OFFICI DATE <br /> EH 00 14 (REV 91961 r '` <br />