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99- 190 <br /> . � � JDAQUT'vi CDI7NTY <br /> car ��J PUBLIC HEALTH SERVICES <br /> >MMTRONMENTAL HEALTH DSVSSION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> nPPLrcr>r n�L+ PHONE NO <br /> ADDRESS�� �c��A�ri� MfaounPH ` SA <br /> AGENCYF <br /> NAti� . PHONE <br /> NO <br /> ADDRESS <br /> �L� r � TaIIST1m�Gg cru/ PROGRAM 07t <br /> Gll H., raJoc. >�crLxTY OF <br /> L <br /> THIS NOTICE IS SU6JECT TO THE I2FdU1REMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHDI POUCY Ii94-007, ORDINANCE CODE CF <br /> SAN ,10ACUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS. SATE WATER CODE, <br /> COVER"ENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF M JIM PREMISE ADDRESSES PER REQUEST , <br /> 2, PU9LIC F1LESMECOROS REVIEW IS BY APPOINTMEIrr ONLY, APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209968,3420. OFFICE,HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> T)iRU FRIDAY EXCLUDING HOLIDAYS, 9:00 AM TO 12:00 NOON AND 1:00 TO 4:30 P.M. <br /> 3. A PUBLIC FRES(RECOROS RELEASE-APPLICATION (PRRAI IS REQUIRED: <br /> 4. PUBLIC RLES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED 8Y THE EHD STAFF AT THIS EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BREED T,0 THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> S- ORIGINAL PUBCSC IZLE5/H£CORDS SHALL NOT BE REMOVED FROM THE ENR PREMISES_ <br /> w..•4lfi�..........• .. ... ............. ..........•.r.....•...• <br /> SIGNATURE OF. APPLICANT / / `/ DATE <br /> . S("AT[1fiE OF RELSA, WG OF610AL DATE <br /> EH 00 14 (REV 9/961 <br /> TOTAL P.a2 <br />