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SAN JOAQUIN COUNTY <br /> PUBLIC. HEALTH. SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATIONr <br /> AAPLICANT /ffTNy /�ZF�D PHONE ANO CSI/��57a¢ZZOC� �Y' r +- <br /> ADDRESS /7 Ort1Rl�Z'CE GP SttL C� 9i?r/t' i <br /> AGENCY NAME PHONE NO <br /> ( Y� <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FIL8 <br /> 30 2 k/Esr wcw e. �. k1WD DUFF ,cam o[tuP. <br /> 445 WFsr 1ti/�cex N • ^ '� TNv Nlazr-rnu�c <br /> 40Z WEST G✓EBtK ,15 C�!� '(�t (NS �I _ <br /> 443,4P462lbl (-� c��BErr lI2urrr��;. � z,,P__ruc�/7A�eH/✓V <br /> 203 �"S7u na L/.✓(�t.J�,� � E➢!i✓A%Q� PT ✓ <br /> 333 TNLEBL12E! (-�(� k/RT2R F,eon(r YAsHT (b�e't4` � <br /> tog- V ZFvr '1 Cl r ffQr0 <br /> 4-055Al- <br /> 411 <br /> /•41/ n/ Mon/2a� 3�$ Ga�✓Tv&�Y <br /> y�2F N, t/fbV fit/.et7✓'A �j /�tlfJc� i.a�/Kdc-ET - <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 /> 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 (10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)468-3420. 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 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 /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> �7 <br /> • •. <br /> a.....r..•.+.r...r... •.r.a• •♦ s♦ .......♦•.+r+r...++r• +a r+++a++s+♦ - <br /> SIGNATURE OF APPLICANT DATE .. <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />