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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �`�T �- �'Yt�-c C� PHONE NO <br /> ADDRESS C-Ka��: c.SF+ C. 4� c' �'�['3 <br /> AGENCY NAME .— PHONE NO <br /> ADDRESS <br /> * k *-k k* k ** k.k k***#***#*{'*#***##'k*****.#*****t***#*#*********#******'►' <br /> FULL ADDRESS BUSINESS NAME PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> �,-C� C,._ `� - CL . i�oc2.r���G _ `"Ylfas�3n:(� C_4��' :�� .� •� r.r •C�-:r�. rAc^n��N.�LLC7 <br /> +71Z , �—c3 � cA��n�tiaF,TiGs <br /> *#* k <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, 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 (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 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 /> . . . . . . . . .... ... ♦ ... . .. . .o f. ..t r... ..... .... ..... ........a.a s 4 a s....... <br /> SIGNATURE 01= APPLICANT —"—��-� ����-c.�--k DATE <br /> SIGMA rURE OF RELEASING OFFICIAL DATE <br /> Ell 00 Id (REV 9/961 <br />