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SAN JOAQUTN COUNTY �9 <br /> VUBLIC HEALTH SERVICES '4, <br /> ENVIRONM6@NTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT�L . IIJDZM1IIIJ-1�. PHONE NO <br /> ADDRESS:3LLA.0—IaL��r_ S .�-�, <br /> AGENCY N�—AME LTYa FruVler lrnElV7-AL. PHONE NO <br /> ADDRESS <br /> _FULL ADDRESS BUSINESS NANgL QROGRM OR <br /> FACILITY TYPE OF FILE <br /> + 3 Nov" o' LoDI CttEJe0jVj0 y183 <br /> a5l('�qmlka IST: <br /> r.SI- <br /> * S-f <br /> lu n <br /> 1r,5 A/ !'on QtarYhw J4�'1'!� j k /I 3 7t �7 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICY 894-007, 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 2ML191 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APe, IIYTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY.CALLtNG (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 PU13UC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBUC FILESlRECORDS NOT RETURNEo 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. 0071 <br /> S. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> +:.a*a.••awaa+s•+asaa•s.... •aaa...•aa.•aw.••c•ai•••••a••a•aa•faa#a••♦#.krf <br /> SIGNATURE OF APPLICANT�� (/L Z� I / J DATE `3I <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FH 00 14 IREV SMI <br /> 1' �J <br /> TOTRL P.01 <br />