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• • �� ��rc.Fw <br /> q7-/t'7 <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> \1rY m tr� , n PHONE NO 983 - I I I1 <br /> APPLiCAN'P v �Qc} Cir 5�, }e 7vv <br /> ADDRESS Z`11 r pHONE NO 9.83 <br /> AGENCY NAME Lex 14ssocl ake s <br /> ADDRESS <br /> kkk * 4*** k * <br /> BUSINESS NAME/ PROGRAM OR <br /> FULL._ ADDRESS FACILITY TYPES E <br /> }p 11 <br /> 1 y ;nCA r, S+ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY #94-007, ORDINANCE CODE OF <br /> SAKI JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN LD1 PREMISE ADDRESSES FIER REQUEST <br /> BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> 2. PUBLIC FILES/RECORDS REVIEW ISRE SCHEULED <br /> TED BY CALLINGHRU FRIDAY EXCLUDING3420.HOLIDAYS, 8:00 AM TOOFFICE HOURSR12:00 NOONEAND 1:00 TO 4:30 PMMONDAY <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4: PUBLIC FILESlRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> DTIONAL <br /> Y THE EHD STAFF AT THEOF THE APLICANT. THIS A <br /> NSE <br /> 5 RVICETED WILL BE BILLED TO THE APPLICANTS OR AYM NTP(SEE EHD POLICY 94 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ....................................... <br /> DATE �' <br /> SIGNATURE OF APPLICANT — <br /> SIGNATURE OF RELEASING OFFIC <br /> C Q ✓ �l VDATE ul / <br /> EH 00 14 (REV 9/96) <br />