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s , <br /> •�..� mar+ ���- /�i�•-=Z,��� <br /> �E6 L <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS - RELEASE APPLICATrION <br /> P J . YY�ec,2.E <br /> APPLICANT E'cEe PHONE <br /> ADDRESS t`p �JGtcll � CFS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> rt.LL ADDRUSS BUSINLSS NAME PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> ' �c-2 IV . C`v��=F P.VC \3Z.�2. F�t.Cc2�c T�'V�cK•��C: Ccc:, c/�rnuvh��o..; �� <br /> C�Ci Z C <br /> •X25 E EL.E`;EtJ'C M1 5"�. •z2{acv Pc�\CE FAc�Li"�Y � ✓ uS't�=j,��� T <br /> ✓., '�d'Z C?c:v-t H �GF.O ._LA'tN`?S,4~ uFE-c\LF oT Mt.:t..�e�V,FE-CCLC �S� �1`• T <br /> �'Y <br /> �\C;rl\ tom? 'l�r�A►tJ.-tv�As.7c�A _ M/\+a TEcF� �N E LL. UST �S.� 7 <br /> A CNi�¢.-cc2 Sa=�UvCE V S CG:::CAM\tJ RZ IO N <br /> AUE MAQLE`r CGULlNc �COwi'Z C-C:� rtarnt►]P��o ��y , � <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 JOAOUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN 110 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/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> • • • • • • • a ♦s♦.a a•♦♦••a♦•♦a s ►♦ a a r a a a♦• ••••a♦♦•♦i a ♦.++a a i a a a • <br /> SIGNATURE OF APPLICANTDATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />