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,✓ SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES 4- <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT R h h PHONE NO `LL''- I y S <br /> ADDRESS C_ <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> foal !AIU5-lr�e, l PNG(?L5� <br /> Th o I •1-1101 5 - Alroo-rt <br /> '-f `r ,.t <br /> 1 ) o 6R r <br /> D I . <br /> .ri W Lo. �L <br /> V 1 5, r-( D or-c,Aov <br /> L0 ' <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(ESM)POLICY#94-W7, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES 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 FT FC/RECORDS REVIEW LS BY APPOINTMENT ONLY. APPOBMMm ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENT'S ARE SCHEDULED MONDAY THRU FRIDAY <br /> ExcLUDING HOLIDAYS, 8:00 AM To 12:00 NOON AND 1:00 PM To 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION(PRRA)IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WII.L BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> 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 DATE cl S <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PHS/EHD RECORDS/FB.FS ARE IDENTIFIED: <br /> w.Te: RRvuwm m nmvxa DAM <br /> PHS/EHD RECORDS/FII.ES EYIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DAm nnvvam.r: Nmma D�m- <br /> 1 (REV 51 4) <br />