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OT 3 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> /PUBLIC RECORDS RELEASE APPLICATION <br /> APPI.,I.CAN'C t}µp'�/� ��'/9z��� L PIIONE NO <br /> AGENCY NAME PIIONE NO <br /> ADDRESS <br /> } k k A k# k k k } k k k i k 4# k }*++}*i # } k k* 4 *+#+4+*} } k##+##*t*# <br /> FULL 111JllRESS <br /> DUSINL'_SS NAME1 F!?OGR1�M OP. <br /> FACILL'PY TYPE OF FILE <br /> r � ul �A <br /> rkr�0 n'� f'(!ogfu s DE lklP�h<- 3s.2 -7 <br /> Ckfe j7o ,'s �f) <br /> k k i 4 1 4 4 k k k 4 4 4 k k 4 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTI I <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EI-101 POLICY #94.007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHO 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 /> 7. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> FD RY CALLING 17091468-3420. OFFICE IIOURS 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 FILESIRECORDS SHALL NOT BE REMOVED FROM THE EI-ID PREMISES. <br /> i. .. ,... . . . .. ... ... . . . ... . . . . . . . .. . .. .. .. <br /> . . . <(� <br /> SIGNATURE OF APPLICANT DATE <br /> CV SIGNATURE OF RELEASING OFFICIAL— DATE <br /> FI I W) I'I (REV 9/961 <br />