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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT `S f �,z ? PHONE NO Z 6 7 — <br /> ADDRESS 7 C2_ cc 5.k- <br /> AGENCY <br /> hAGENCY NAME TU r r c11.5 5 f PHONE NO <br /> ADDRESS C <br /> r <br /> FULL ADDRESS BUSINESS E/ PROGRAM OR <br /> FACILITY ^ TYPE OF FILE <br /> / <br /> ` . S/f' �- <br /> I <br /> I <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 /> i <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)46$-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 5:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM, <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> r <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OFI 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 /> +++........+++......+..+.+.++ .. '++. +............................•.....++.. <br /> le <br /> SIGNATURE OF APPLICANT ! DATE 7 I f <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br /> I <br /> i <br /> i <br /> 1 <br />