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.� e !�J <br />SAN <br />PUBLIC COUNTY <br />SERVICES <br />CES <br />ENVIRONMENTAL HEALTH DIVISION e 77 <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT J014^J 6L0VWf,_ PHONE NO !;ro•4ZG, Z6j'0 <br />ADDRESS /Z5-7- Cityc%,- n7 (--...i C,!}- '74 rcc <br />AGENCY NAME PHONE NO <br />ADDRESS <br />FULL ADDRESS <br />BUSINESS NAMEL <br />FACILITY <br />PROGRAM OR <br />TYPE OF FILE <br />! 8¢8 '+e/oC fir¢. S�Zw,t G�,c�..�� ar Ci�rwC�i���i /�.,,•� 01e.� _ <br />! 8 s6 t=rcrd Aor_ , <br />/ TSD w . Freryr'" /- <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 J10 <br />j 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 DATE ¢<Z - <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />EH 00 14 (REV 9196) <br />