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Mv- iun u.a ___ __—___ - <br /> - -- lFF;m . <br /> } y I1 <br /> SAN JOAQUTN COUNTY <br /> PUBLIC HEALTII SERVICES <br /> ENVIRON114ENTAL HSALTFt DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �� .� <br /> l�Q��Ly HONE NOa`I ?�} <br /> APPLICANT ��� _ _-" "P= <br /> ADDRESS PHONE NO 'x - <br /> AGENCY NAME <br /> ADDRESS <br /> BD INE W NAMEL PRQQ AM OROR <br /> >:'t LLQ— ADDRESa gACILITY TYPE OF FS>Jfi <br /> ue <br /> Lo • UST UST 51 n? ,u[3Z96Z <br /> I ss S <br /> i <br /> Z- <br /> 9717to= / a>v1 <br /> 57 tL f�fZ 3 NoNt . u <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHO► 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 TIN JM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC F{LESIRECORDS REVIEW IS BY APPOINTMENT ONLY• APPOINTMENTS ARE PROCESS- <br /> CORDS <br /> BY CALLING 12091488-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS- 5:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL HE <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 /> 5. ORIGINAL PUBLIC FILESIRECORDS 5 OT BE REMOVED FROM THE EHD PREMISES. <br /> +.•• <br /> ........................ DATE.-427t- <br /> -7 9 <br /> SIGNATURE OF APPLICANT pn <br /> SIGNATURE OF RELEASING ILIAC �i ��DATE <br /> EH 00 14 IREV 9196) `� 1 <br />