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99- 183 <br /> fl <br /> SAN JOAQUIN COUN'T'Y <br /> TH SERVICES <br /> 9 Vl FiUNMtfJ 1;4L.HEALTH UIVISltJN PUBLIC HEAL <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ; <br /> c+ <br /> PUBIC RECORDS RELEASE APPLICATION <br /> 'f APPLICANT ✓� '� `- jLlr PHONE NO � <br /> ADDRESS i� I� r�•��G C. / <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> I� <br /> 1 FULL ADDRESS BUSINESS NAMEZ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> . If <br /> ij <br /> :1 <br /> it I <br /> I I0 l <br /> I <br /> I i <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, P <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> f� <br /> 1. A MAXIMUM OF TEN (101 PREMISE ADDRESSES PER REQUEST <br /> I� r <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. AP <br /> iP01NTMENTS ARE PROCESS- <br /> ED-BY CALLING (209)46$-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 TH FOR PAYMENT. (SEE E"HD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FIL /RECO �,,PLICANT <br /> ALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> �I <br /> ++++sa+*+•s11+++•+++• +a# • s t+++++++++++++a+sas+se+++a++++�t++s+:t++tt+r <br /> SIGNATURE OF APPLICA i DATE <br /> SIGNATURE OF RELEA NG GAL Q" C _ ATE <br /> EH 00 14 (REV 9/98) <br /> f y/� /C�i'� ✓J � Jul_ 16 1�9 <br /> n �r:rr,+c.,riLllJhd I,+aiRlfY <br /> PUBLIC HEALT1I SEfiVICCL <br /> ENVIRONMENTAL HEALTH DIVIStoty <br />