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APPLICANT --I <br />ADDRESS LZ r <br />AGENCY NAME <br />ADDRESS <br />SAN JOAQUIN COUNTY recolm <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />PHONE NO <br />+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ <br />FULL ADDRESS <br />BUSINESS NAME/ <br />FACILITY <br />�I hrc l�ln(� 5- t:tpt in v\ rA <br />'`(:%J I�C;IAISC', F�VC'i � YWICi <br />PROGRAM OR <br />TYPE OF FILE <br />+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) 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 />SIGNATURE OF APPLICANT LNZMA, n0�uu I/ DATE I I C/ <br />ID <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />EH 00 14 (REV 9/96) <br />