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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ��p� /i / 3 y <br /> ADDRESS o���,P E yy' �e�Ti r7-• <br /> AGENCY NAMES/ ��/ PHONE NO <br /> ADDRGSS <br /> t{fi{atfiw+t+aRttfi*Rtt#*ifit***a{k{*#**tt#*Rtaatk*fi tflrkt#Firwi'#{r*twa <br /> FULL AD_�RES BUSINESS NAME/, PROGRAM OR <br /> FACILITY TXPE• OF FILE <br /> e2PD1 F. �r,�vrc��+vc:fieri .. �,u7:'GJ' <br /> 95/0 .•f_ Ovi C1=•� z��.,„Q.�c,�.rr .�-`- ,7�ZGJ' <br /> 390/ `, LOU/I'r4' i4lf '. e.rt ra /lr irzkf/c7- <br /> c.0uiec-ryy 0 cic415 <br /> ga <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, <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 1209)4613-3420. 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 (PRRAI 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- 0071 <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE U40 PREMISES. <br /> •.fff\f I lfffff.�f flff lffff if♦off of f• 1f1• \IIIf1IIf��f ff f��1f11f�f\ff <br /> SIGNATURE OF APPLIC T DATE-jr!� <br /> SIGNATURE OF RELEASIN FFICIAL DATE <br /> EH 00 14 (REV 91961 <br />