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EYED .� <br /> Y. I 1 <br /> -- ---- - SAN JOAQUIN COUNTY F�� <br /> PUBLIC HEA'bTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �avcc� C`�o GGt�Yr �► PHONE NO <br /> ADDRESS 31 Gil a Ick taw- pry ca 2 O C.r ov 6 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAMEZ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> �0� W -[.e4kal,,ti .l,h L-o d{ h 5 `��}/ �CAGo•1 S�-c��-lo� �S l 3 by l r i <br /> a Lorl I <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, 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 (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 IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS 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 FILESIREC RDS SHA''-LL NOT BE REMOVED FROM.THE EHD PREMISES, <br /> saasaas++aa++ssataaaas tt • a�afaa*saaa+saaa♦tsar+ss#+aa+s asaaaasaaa+asas <br /> SIGNATURE OF APPLICAN <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH'00 14 (REV 9196) <br />