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\\V\JAI /��� 7✓ r ��. �r . <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH: SERVICESz ' r `+ <br /> ENVIRONMENTAL HEALTH .DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION ,+ <br /> 1 S <br /> n PHONE NO C9/1vJ51o¢2Z0C7 '' R <br /> APPLICANT qr}r/f x <br /> ADDRESS /"3 62e/L E �' L PHONE NO ' <br /> AGENCY NAME — <br /> ADDRESS Yom' <br /> BUSINESS NAME/ PROGRAM OR <br /> FULL ESS FACILITY TYPE OF FILE <br /> r <br /> 302 HIEsr WeaEe �.�T klaooKu� peruP �Te. <br /> A,II •r r,igarin icc — ✓ <br /> .,AG I_(eT �— <br /> SrOn WE57 , ;E � /GBFI2.^-N�h �Q 4 ^""- � .CeDad Blow <br /> AGv <br /> ! iru Ue/COL )'iA �' EDN/A�d PT <br /> I�VEt= •^-rte" ��"•fir YAtNT F�P4') <br /> 333 TNLE.Bc12f7 eanp f <br /> 1-IA16 ✓ 1 i TC g8- / i��7bSaY✓irE <br /> -V-6 AlAIr-v 6npy <br /> X29 N. r/PoV �.ie�✓IA �I ne�lc� �:ac��iCd�ET <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 (10) 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 APLICANT. THIS SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENTP AL <br /> SEE EHD POLICY 94- 007 <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES_ <br /> .......................«. .. .. ,....,.,............ .,........,. 5 <br /> DATE 2S 97 . <br /> SIGNATURE OF APPLI <br /> CANT <br /> --�/ ! <br /> 9 . <br /> SIGNATURE OF RELEASING OFFICIAL <br /> DATE 's <br /> EH 00 14 (REV 9196) <br />