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SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT %Ll 14e_,' <br />ADDRESS C -y <br />AGENCY NAME <br />ADDRESS <br />zI^ <br />_PHONE <br />PHONE <br />NO 7 y `—S <br />�tr,.'c� , v4- 1 yS'Sc> <br />NO <br />***************************************************************** <br />FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br />FACILITY TYPE OF FILE <br />***************************************************************** <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 />4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE END 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 />+ + + + + + + + + + ♦ + + + + + + + + + + + + + + + + + + + + + + + + + + + + * +4 + + + + + + + + + + + + + + + + + + + + + + +U+ + + + + + + + + + <br />SIGNATURE OF APPLICANT_?�DATE <br />SIGNATURE OF RELEASING OFFICIAL I ' a 1 �.� DATE <br />EH 00 14 (REV 9/96) <br />