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3 � � <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT L <br />ADDRESSy 1 PHONE NO C`J/�� 1 _ t <br />AGENCY NAME ;�' �4� �PiE /Pt /!f g U-7 C13 <br />ADDRESS PH NE NO <br />FULL I.DDRESS BUSINESS NAME/ <br />FACILITY <br />of fir. r -r <br />Lo v Ly [c d <br />)y <br />PRO;RAM OR <br />TYPE- <br />�. _ lf2C i SE- G UP <br />/6iy C cf� <br />-7_YS't J-037, vx <br />7 iYU /7f2 y µ <br />23SIo_ 7 t� 7`� <br />x6yH_ —mss <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, 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 U CALLING EXCLUDING <br />HOLT 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 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 />.................... wsss.a.••wwwws••s•w•.w♦ <br />SIGNATURE OF APPLICANT ......`•-•"...... ••*•tea+.w <br />�� //• DATE 3 <br />SIGNATURE OF RELEASING OFFICIAL <br />EH 00 14 (REV 9/96) DATE_ <br />