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--i <br /> -i7 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES 77 <br /> ENVIRONMENTAL HEALTH DIVISION ev <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO 20q — NP4 3OI <br /> ADDRESS Z <br /> AGENCY NAME ) - y\ s G PHONE NO Z06) - <br /> ADDRESS--50 <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> oS <br /> 5OZ7 E�. (.(SIA I'�"e, —L� h12ttiA OAIP.Y15 fl IV 1, <br /> 1 S . l\/I cKin�l e ane r L�1 eea 1��C� `2(' t, M ;- 1— <br /> � �—ryusUv��P,►� rte. Shu��-P,�crv� �►-a� S izc. ti.n�.;� _��.;��. <br /> )�,n-'t�. fin( ,����� A-�-m�,l � ' 't�. M.�•�- -� �'° - <br /> ***************************************************************** <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 094-007, 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 (10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)468-3420. 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 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 /> +++stt+++++t+hast++a+a+ •tt+t+sits+s as++++++++st+++++++++ <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE 7i� <br /> EH 00 14 (REV 9/96) <br />