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- 0Q- 07 . <br /> SAN JOAQUIN COmny e <br /> PUBLIC REALTH SFRvj;c5s � � <br /> E1+1VI,RONMS�y'T'AL RSA]JTA DI V1SSON t <br /> PMLIC RECORDS RELEASA APPLTCATIO1<i �O <br /> AD1��EssId. � s <br /> AGENCY NAML lT>a FJVV I QUL�'1FIuTt�r` „PHONE N[3---- <br /> ADDRESS <br /> HLISTNR5- NAME/_ RRQYRAM OR <br /> FACILTSL TYPE OF,FILE <br /> + � E� 1J°► LoD1. Gt�d2t7 � Hla� — _L�S�� <br /> At. i2pin%-A <br /> D , !– <br /> THIS NOTICE IS SUSUECT TU THE RECLUIREMERM IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICJEwSIENVIRQNMENTAL HEALTH DIVISION IEHDI POLICY #34-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EH? FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE, <br /> 1. A MAXIMUM OF=LM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECOHOS REVIEW IS BY AEeQIWAENT OULY. APPOINTMENTS ARE PROCESS- <br /> ED BY.CALLING (209)488 420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLVDINC HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1.00 TO 4.30 PM. <br /> 3. A PUSUC FILESIAECORDS RELEASE APPLICATION (PRF;A) IS REQUIRED. <br /> 4. PIEBIJC FILES/RECORDS NOT RETURNED IN THE SAME CCNDMON AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SEKVICE WILL Be BILLEM TO THE APPLICANT FOR PAYMI=AIT. ISEE EHD POLICY 94- 0071 <br /> 5. ORIC31NAL PUBLIC 19LESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> tl�iiir a.t-R•Rf -M�{{r4i1.•. R•Mi#M r.r�7�tf fsR •#*+rrrftarr s;irrtff#rr+7l if rs <br /> SIGNATURE Or-APPLICANTS � � DATXI <br /> SIGNATURE OF RELEASING OMCIAL DATE <br /> EH 00 14 (REV 9M) <br /> TOTAL P.01 <br /> L;: <br />