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SAN JOAQUIN COUN'I'Y <br /> PUBLr.0 IIEAL'1'll SERVICES <br /> ENVIRONMEN'CAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICA'PION <br /> APPI,ICAN'I', 5b[L'k {6IGI PHONE NO L 3 �' �� L <br /> ADDRESS <br /> AGENCY NAME - < PHONE NO <br /> ADDRESS TI 1 rYl f� IS�'Il <br /> I.U[ f _ AllDRESS �USZNISS NAM_L?. PROGRAM OR <br /> fAC'[L,]'['Y TYPE OC FILE <br /> iISfG:;0io.-A <br /> / <br /> � Ihr a1¢' k / '•�ll i��P U,r,(.����1F �� � `.rr�rLF 3�i�.{fiUl `, l <br /> kk # kk** ###* #**#*##**t*## ** #***# *##* ### #*### #*##+* #*###**#**#***## <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHDI 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 1101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> TI-IRU 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 (PRRAI 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 /> . . . . . . . . . . . .. .. . . . . . . ... . . ..... . . . ... . .. ..... .. <br /> SIGNATURE OF APPLICANT, ' G %L "1 2�✓' DATE 7 <br /> SIGNATURE OF RELEASING OFFICIAL_ DATE <br /> Ell 00 14 (REV 9/96) <br />