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4 r <br /> y <br /> EYED <br /> SAN JOAQUIN COUNTY , <br /> PUBLIC HEA'bTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �avrc5 �cter �� PHONE NO <br /> ADDRESS-30(.11 o lc� ��- prti 2 O h C..r ov 6 <br /> AGENCY NAME PHON& NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAMEZ PROGRAM OR <br /> FACILITY <br /> TYPE OF FILE <br /> �-(d f � ea,o,,., �,h L.od r �5 `�}� ��coy. S��o�► �t Si 3 by r <br /> 0 W. LvAi <br /> f f <br /> t <br /> �'**'k"jC�"✓�'�**�f**7k*'k*'�'*'1��'�"�'**"k'�***7E lk'�"1r 1t'k***�*********-jC�i'�'�"�******'k**�'�' <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED, IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY x/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 /> a <br /> 1. A MAXIMUM OF TEN ii-0-1 PREMISE ADDRESSES PER REDDEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING {209}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) 1S 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.I(SEE EHD POLICY 94 007) <br /> 5. ORIGINAL PUBLIC FILESIREC RDS SHALL NOT BE REMOVEDFROM THE EHD PREMISES. <br /> ++aaa•+++aa+++a+++++a+ ++ t a�ri aaf++saa+w++aa+a+ara+++++a+++ara++at+aw++ <br /> SIGNATURE OF APPLICAN YJ7 ::s DATE, <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH'00 14 (REV 9/96) <br />