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i <br /> SAN JOAQUIN COUNTY <br /> POBt,IC HEALTH SBRVICES <br /> ENvIF,0mu PTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE Noh3ll�L1—1N5 <br /> ADDRESS121D1 '�7_hV1 LVD J ( "' D ck 4 3 <br /> AGENCY NAME PHONE NO SAG's p"5 4154\° <br /> ADDRESS sAfly- As 14661�6 <br /> i <br /> x++##*+R*f+R*x#rrr+R*R+*#++##*rxx Y#+wx RRRf*#+###++++wr#r+wwww*xtx <br /> sitt,T, P�DRpaC St7S2NfiS5 NAME/ PROGRAM Qj; <br /> FACILITY TYP�QF _F -LE <br /> I f <br /> I <br /> I <br /> i <br /> j ifft*##Rf#+#if Rx*ffx*f Rxxxf 4i*f**ff*%++xf**#RRf fffffffxxx#x*f*ff* <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PU9LIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION IEHD! POLICY 994-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY. EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATLR CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN JM PREMISE ADDRESSES PER REQUEST <br /> I <br /> 2. PUBLIC F{LESMECORDS REVIEW IS BY APP9111 MENT ONLY APPOINTMENTS ARE PROCESS <br /> BY CAU LING (2WK68-342t1. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:90 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> I <br /> 3. A PUSUC FILESIRECOROS RELEASE- APPLICATION (PRRAI 19 REQUMW- <br /> 4, PUBLIC FILESiRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TIME END STAFF AT THE EXPENSE OF THE APPLICANT. THIS APPLICANT.THIS <br /> ADDITIONAL SERVICE WILL BE 9ILLE0 TO THE APPLICANT FOR PAYMENT. (SEE EHO POLICY <br /> 94-007) <br /> � 5. ORIGINAL PUBLIC FIIFslRECOROS SItALL NOT 8E REMOVED FROM THE EHQ PREMISES. <br /> SIGNATURE OF APPLICANTOATE <br /> SIGNATURE OF RELEASING OFF] o) ATE i/l <br /> EH 00 14 IREV 9/961 If <br /> TIITf;L P.02 <br /> TOTRL P.L•V <br />