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Gam:/.TLf <br /> ql- D& � <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> T PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT )vPftb Y4iNADN PHONE NO <br /> ADDRESS 2-l5 E, Kite/E3 Ld-w <br /> AGENCY NAME PHONE NO <br /> ADDRESS S elf boy <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> ''nnQn, AA FACILITY // TYPE <br /> y OF FILE <br /> I�Ycr aCUPylk 9 �DL�]!fih ��� �i��f log USI Q� SB <br /> L(S oG. S ITJ <br /> r <br /> /�02 E oniE � '7D.C�'D- 5� ll<Td Olc9� D <br /> +++t++tttt+t+t+ttttt+tttt+ttt+t++t++t++t+++++t++ttt++++++++++t+tt <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 110) 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 /> ..................... G ��'E ..... gyp................. <br /> SIGNATURE OF APPLICANT.. ..... .. DATE 3 /'9q <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/961 <br />