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t <br /> q�- �23 -2 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Srv[7GLIC RECORDS R�,FLEASE APASIZON <br /> APPLICANT _ PHONE NO f7 <br /> ADDRESS �S �c cue -t J <br /> AGENCY NAME PHONE NO <br /> ADDRESS 4'A-H,`p <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> 5f Fe FACILITY /J TYPE OF FILE <br /> �rae.Jeh. a /1.dm..fo� S <br /> f-7 r 5:, L„jcOL,-J 63o z) A-z �7� es MAI I l e <br /> 3nZ uJc-T[ nns�r(cro6O S nA sF., Lfd+ H�1�IbK ) <br /> 42 <br /> A] . L,I�V✓Ljg7 ` <br /> cr U sGqfflfJ <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 /> 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 APPLICANT. THIS <br /> ADDITIONAL SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY <br /> 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> •aasaa r a a a a a a a•a+a O a r aa+ + rasaaaaa a s a♦ •aaa+a++a+a+ aaa raaa+ar++ <br /> SIGNATURE OF APPLICANT DATE Z 7 <br /> SIGNATURE OF RELEASING OFFI IA ATE <br /> EH 00 14 (REV 9/96) <br />