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-77 <br /> SAN JOAQUIN COUNTY -i <br /> ` PUBLIC HEALTH SERVICES <br /> :.; <br /> = ENVIRONMENTAL' HEALTH DIVISION <br /> PUBLIC RECORDS 'RELEASE APPLICATION <br /> ,:u c r� w <br /> NO <br /> PHONE_ 209 36� 531 ? <br /> !APPLICANT E �/< E <br /> *ADDRESS 1 n G U ` - <br /> ` ' AGENCY NAME PHONE NO yqx�?6 �`>� 9— <br /> '"ADDRESS { _ <br /> 3 <br /> y �r <br /> FULL ADDRESS BUSINESS <br /> NAM <br /> PROGRAM OR ` <br /> �' FACILI'rY TYPE OF FILE <br /> r <br /> µ <br /> l✓. L14a,55 'ray/ USA �FfLlo�: uM � . <br /> w� <br /> v <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH �.. <br /> a VISION (EHDI POLICY. ORDINANCE CODE <br /> SERVICES/ENVIRONMENTAL HEALTH DIOF <br /> T> * SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGERESOLUTIONS STATE WATER CODE <br /> " GOVERNMENT CODE AND THE EVIDENCE CODE' <br /> I 1 <br /> 'A MAXIMUM OF TEN 10 PREMISE ADDRESSES PER REQUEST ? e <br /> `.2. PUBLIC FICE5/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS'% , <br /> ED BY, CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY 't <br /> aTHRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1.00 TO 4:30 PM' <br /> Nx ' <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. {! <br /> 4. PUBLIC PILESMECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE ..... <br /> A^ ' CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT.:.,THIS ADDITIONAU <br /> SERVICE,WILL BE BILLED TU THE APPLICANT FOR PAYMENT (SEE EHD POLICY 94 0071 <br /> 5.'.ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ' .1..♦H.it l,.../114..1.. •♦•1 a.#..♦s ♦lt#1'♦.♦i....*.�........♦. ♦...♦�♦�� <br /> " DATE <br /> a SIGNATURE OF APPLICANT ct�✓V`� Q . <br /> a <br /> TE DA <br /> t - SIGNATURE OF RELEASING OFFI t+ <br /> >n . <br /> EH 00 14 (REV 9/961 <br /> - <br /> ,.! may, <br /> a <br />