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Saw <br /> a <br /> -- ��-� -- SAN JOAQUIN COUNTY <br /> PUBLIC HEA'bTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> (�tio <br /> APPLICANT �ctKr1 ONE NO <br /> �avt PH � <br /> ADDRESS 31 G�� a}� �••� pf t v 2 O C.r ov 6 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAMEL PROGRAM OR <br /> k,FACILITY TYPE OF FILE <br /> r + 5 r + <br /> 13�.car S�a+Lo� S13 hv( r, <br /> O �.a )fc. �.,.� , .L <br /> ' <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #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 /> 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 (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/REC RDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> sswwssssswssas++wss sws ss w +9raasw++s+sw*►+++sw rwwawasas+ss+;ss+sss+ts <br /> SIGNATURE OF APPLICAN '�/� DATE 2 3 �} <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH'00 14 (REV 9196) <br />