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!1' 11. 00 111•J11 iv.L1 l<.n r v . .rvra a.a.....•_.-�.,.... _.._ -,� �! <br /> t <br /> sm TCAQUIN 60ONTY <br /> PUBbiC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIV13ION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT~ PHONE NO <br /> ADDRESS_ -�_--�', -. _ _. TL __�.1j- � _ <br /> AGENCY AME LHONE NO — --___..-- .. -• <br /> ADDR E SS <br /> FULL ADDRESS BUSI `NJESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> &Z -9:42W444177 <br /> 41611 <br /> tx#r.**#t*t,rt*x,rx*x,rr,rxtx*�r*z#xx*•ex,rzxre*x*#t**z*tt*,t#t**t*#t****t,r <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI 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 L10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE: PROCESS- <br /> ED 13Y CALLING (2091468420. 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 FILESIRSCORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EH[) 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 PUSUC FILES/RECORDS SHALL NOT BE REMOVED FROM THE ENb PREMISES. <br /> s a a t s a s a s• • a s . s s a a « ••••.••••. <br /> SIGNATURE OF APPLIC T 1¢ QATEA <br /> SIGNATURE OF RELEASIN OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />