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FFtJ�'I hJUH Err..i rcrEmen t.3.I <br /> PHOHE H0. 209 3b9 422G Tan. 17 2000 103&41 F'1 <br /> ri <br /> _i1 V <br /> Ni <br /> %. <br /> l ( r <br /> 5AN .70AOUIN COUNTYUJ ' <br /> a PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS REL8ASE APPLICATION <br /> '' :E?PLICAL•IT , PHONE NO <br /> ADDRESS <br /> —AGENCY NAME 1 S PHONE NO r I <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> THIS NOTICE IS SUBJECT TO THE BE-QUIREMENTS IDENTIFIED IN THE PUSUC HEALTH <br /> SERVECESIENVIRONMENTAL HEALTH DIVISION IENDI POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE A.NU SERVICE CWARGI RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSE=S PER BEQUEST <br /> 2_ PUBLIC FILESIRECORDS REVIEW IS BY PPOENT EN O lLY APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2991468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLIIUING HOLIDAYS, 8:00 AM TO 12.00 NOON AND 1:00 TO 4.30 PM. <br /> r - <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNEDIN THE SAME CONDITION AS nECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE Or THE; APPLICANT. THIS ADDITIONAL <br /> SE=RVICE WILL BE BILLER TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORIDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ♦1.s r a {♦♦i F r r r i+!i♦ i!N Iw!!7 r• • t t i t 1 i 7 a r r rr i r• -----i i........... <br /> SIGNATURE OF APPLICANT [SATE <br /> SIGNATURE OF RELEASING OFFICIAE_ DATE <br /> EH W 14 (REV 91961 <br />