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U<MIT SERVICE <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICEEB25 AM I1: 56 <br /> ENVIRONMENTAL HEALTH DIVISION ; <br /> ",. PUBLIC RECORDS RELEASE APPLICATION <br /> �; ..Yl. . Q/ / ry r�Y• <br /> APPLICANT t" !SC/IC PHONE NO �� <br /> N ADDRESS -F/( ! • '- <br /> s. <br /> AGENCY NAME L 44- A PHO NO is <br /> ADDRESS SAt tv :b <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE. <br /> _._.� 30 �VU, SrXOO' IJOCKwIa,I) Z,v1 7'_ ('-w <br /> G- C q�N�L p� vc�io� �'1 v . :�•�� ��ls-1 �� �- oiL <br /> 61, <br /> Allo j S ac�Lfbr� o vs - <br /> �(1 <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 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 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 /> SIGNATURE OF APPLICA �-,S�Nr'� DATE <br /> SIGNATURE OF RELEASI OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />