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Oe-3 <br /> SAN <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 14evt( E' Parrilt/iPHONE NO 90 9J 9 ' 23 y(0 <br /> p.1k Svr is'o (or!'k SacrawZu/o f 33 <br /> ADDRESS 3.7-10 Cr w c PHONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> BUSINESS NAME PROGRAM OR <br /> FULLSS FACILIT'! TYPO <br /> fpprn `l!'7.oG CoNcrc7`r,�-Hc 5 ,/ 6�4 <br /> 0( - 64 S�rwn <br /> �Y9 5 Sfa«isfau� r I -1 of — S sya'co-« <br /> 1'Y1L `I o/ - 6.LF 57C A Lo <br /> A ( 1/ 4 jet S Galt'��orni'h rnari«n <br /> FLUE Af7tIA55 <br /> ' mf - Ga <br /> Src1os �crvtce <br /> 3vo S 4 <br /> S�fq g <br /> MoAworl.rr �� bl, F ron <br /> 24Rxg <br /> S Galt tGr« o. SfKT« of ovt <br /> i11 5 y^ w�VrA srFrn 4y'ks �yuiovl� .c r,cw.e 1c�e.0 m! t`ar <br /> Z. <br /> f a df sfiRri« 4 �0(� S <ocr«on I?/a7rN,4, T c, 6( Guf 1�a �io� /p <br /> a <br /> v <br /> r 4 1'4>2- �ei"�tL Sav FL�1ec�rrc�AJ I yr �raa r� <br /> y'3S s. CeN;'t srar« <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EFID) 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 <br /> TH U FRIDAY EXCLUDING JHOLIDAYS 8:00 AM TO420. OFFICE HOURS R12:00 NOON AND 1:00 SE SCHEDULED MONDAY <br /> 1:00 TO 4:::30 PM <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) 15 REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> BY THE EHD STAFF AT THE PLICANT, THIS <br /> S RVI ETED h EXPENSE <br /> WILL BE BILLED TO TE APPLICANTFOR PAYMENT. ADDITIONAL <br /> (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> . .......•....♦�. ...............•. <br /> ......1........ .♦ -.♦ aa <br /> SIGNATURE OF APPLICANT DATE/^ l� <br /> SIGNATURE OF RELEASING OFFIC A <br /> VJ DATE VI <br /> EH 00 14 (REV 9/96) <br />