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SAN JOAQUIN COUN'T'Y <br /> PU131-,I:C IIEAL;I'll SERVICE'S <br /> j" ENVIRONMEN'T'AL IIEALTII DIVISTON <br /> ��cGLU 'PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT) '1� CGl Com' '�`' PHONE NO <br /> ADDRESS ev <br /> C�l1J w�� PEIONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> * ** ***#*****##******#********* l ** **** ****#****** k**************** <br /> FULL ADDRESS BUSIN2SS NAME PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> /) J , <br /> r <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 1101 PREMISE ADDRESSES PER REQUEST 3 i�: .•`r % <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTIv,JEJVTS°PiRE PROCESS- <br /> ED BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE:'SCHET)PLED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, £3:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> ,1. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EFID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RE DS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> .... ... / .. .... . . .. .... .... .....r. r.,............ <br /> . rrrrr • . • . . . rs .rr... .. • . . <br /> ,�jw � rr/ <br /> DATE 7 f <br /> SIGNATURE OF APPLICANT T <br /> SIGNATURE OF RELEASIN -dFFI I IYUV / DATE <br /> EH 00 14 (REV 9/96) <br />