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SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT til / y- y4I7 PHONE NO 2-✓ 4 —1 t7 3 -3 <br />ADDRESS <br />AGENCY NAME PHONE NO <br />ADDRESS <br />FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br />FACILITY TYPE OF FILE <br />rw 6u e wA refj <br />�7'I! r. IfWY. ICI NrQbN)G tglF�- ySfT7-4 FILL <br />m4lyrjey 945 NAYRd c'G� yam s. i�sr aa�,v,re/t�tiL <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 />Y 4. PUBLIC FILES/RECORDS NOT RETURNED IN TAE 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 />........................... ...,., ............................... <br />SIGNATURE OF APPLICANT -DATE/ <br />SIGNATURE OF RELEASING OFFICIAL G DATE <br />EH 00 14 (REV 9/96) i <br />