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.•s. J... a.u.... •..uua.. l... 1 aa..! L•alr ' •� <br /> 9j9WAD <br /> 12Z C <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> --�- PHONE NO 9 - <br /> APPLICANT <br /> ADDRESS PHONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> ##t*#tort+►tttt:tttttt##+t***#+ttt#ttt#####tt#tttstwitttwttt##tt###* <br /> 0 <br /> us- ]ZEMA <br /> F if.l ADDRESS H FACILITY TYPE OF FILE <br /> 3_4eo,&_g2X- <br /> or <br /> #+rfttt##tt:*##+rt#tltt#a#+r*ttt#tt+t#rr*###t#tt#t*tt�r,t#�t*}#t*�rwtettt�r <br /> THIS NOTICE 15 SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SS/ENN(COUNTY, EHD EE ANDVRONMENAL HEALTH SERVICE VISION (EHDI RSERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> CE CODE OF <br /> SAN AN JO <br /> JOAQU. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN LM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY AppQINTMENT ONLY,APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420. 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 PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION A THIS RECEIVED <br /> ADDITILL E <br /> LUKKEC'� BY THE EI 10 CTAFF AT TMJ EXPENSF nF THE APPLICA r <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHO POLICY 94-0071 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHO PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL QATE <br /> EH 00 14 (REV 9196) <br />