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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> j ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION (// <br /> I APPLICANT ` PHONE NO l (Pay' I t 2 <br /> ADDRESS <br /> C AGENCY NAMEV 0 PHONE NO <br /> ADDRESS <br /> M � <br /> li <br /> FULL ADDRESS BUSINESS NAME L PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> !I <br /> .i <br /> �i <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY)i EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODEAN D THE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN (10) PREMISE ADDRESSES PER REQUEST <br /> i <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420. 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 /> k 4. PUBLIC FILES/RECORIDS 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 /> li <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE RE OVED FROM THE EHD PREMISES. <br /> i <br /> aaaaarr ar taraaataaraaaarr t +rr a aar+• ♦aaatarrrrtrsrraat++a+ra+aarasaaa <br /> �i <br /> SIGNATURE OF APPLICANT I DATE - �j— <br /> SIGNATURE OF RELEASING OFFI AL I ATE <br /> EH 00 14 (REV 9/96) <br /> I <br /> V <br />