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>� q7-/ 9/ <br />- r <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT 3tC�DhcLnl(?, Rurde-if PHONE NO 41-0-1 -O`I I I <br />ADDRESS3aU W +b-rCLLnS S I <br />AGENCY NAME PHONE NO <br />ADDRESS <br />FULL ADDRESS <br />H05 r'f)a i n SI ilfl_e F <br />BUSINESS NAME/ <br />FACILITY <br />John I rClOrl - <br />I&AZA2922 <br />O vii n 6 r <br />PROGRAM OR <br />TYPE OF FILE <br />elly Ifonrn,)en�0— <br />*t++-.rt�t*t:r,r*,ttt+*t#*++*�+,tr+rte+,tt+##t:r+*:r <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 UOJ 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 SCI IFDULED MONDAY <br />THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:OQ 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 REC FIVf D 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 />...................................p........................................ <br />SIGNATURE OF APPLICANT-PC,rLLe L;RLL,tCL.ttL DATE 0-lCC7 C2 Lc I Qq7 <br />SIGNATURE OF RELEASING OFFI v `^O DATE 4 ' <br />EH 00 14 (REV 9/96) <br />