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31 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 1 n( PHONE NC). 3�g ` I <br /> ADDa�sst <br /> AGENCY NAME U(-')IN, -PHONE NO <br /> AL7DRESS:.. <br /> FULL ADDRESS BUSINESS 'NAMEZ _OWRAM :CS.R: <br /> FACILITY TYPE OF FILE <br /> t1le, PNe f t 1 3 t� '",OwV /?L4 <br /> THIS NOTICE IS. SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE ..... <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER QOD;E, <br /> GOVERNMENT CARE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN PREMISE ADDRESSES PER REQUEST <br /> 2 PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTlVIENTS ARE PROCESS- <br /> ED BY CALLING (7-flS)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 EHO PREMISES <br /> #i+;as+w+�a+w++ss+++sstarswat:st.s+�+r:t+w;r.+c+a+ww+rw+yw++++*aea+►+ata�+►a++a+rwsasss <br /> SIGNATURE OF APPLICANT�i l,j <br /> vf <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/9s) <br />