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r <br /> SAr. JOAQU-N COUN=. <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH :?TVSSIOZT <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APP�LICAN't` ���� jP GQ)Q Fd L L/9 PION 7 <br /> AGNO /O' 3 -2 <br /> .ADEUCYSNA�ME n ' - --- --- <br /> ADDSttLSS �� — -PEFONE Nei <br /> ,ttt,tt*t*tt�rt# ttrt3f{i t,ra;if,ref*ttt,�i-,r,a*•t�*ar*tst,tr,tr*,r**t,�,rwr:t*,tt** <br /> z' ADDRESS BUS INESS NAME/ PROGRAM OR <br /> V FACILITY TYPE <br /> 3 r �aT <br /> I 6s Fies <br /> STSs Al, M4-feu' '.Sb <br /> .t*;�#,t#,tf#*t•►:rrsx,t*x***tuft*t,rrti**xrt:t:*r�•+t+*text*rtrr�•�•��*+.+t <br /> 537— <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS 1DENTIFIFII IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHDI POLICY #94-007, ORDINANCE CODE OF <br /> $AN'JOAQUIN CO JNITY, END FEE AND SERVICE CHARGE RESOLUTIONS, STATE.WATER CODE, <br /> POV"MENT CO 3E AND THE EVIDENCE WOE. <br /> I <br /> 3. Al MAXIMUM OF T.�M PREMISE ADDRESSES PER REQUEST <br /> - ---2_PUBLIC—FIL-ES/RECORDS REVIEW IS BY APPOWjrAENT ONLY.APPOINTMENTS ARE PROCESS- <br /> BY CALLING (2+)91468 3420, OFFICE HOURS TOR APPOJNTMENTS ARE SCHEDULED MONDAY <br /> RU FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> i <br /> 3. Al PCJSLIC,FILESIRFCORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4_ POSLIC FII_ESIRECORDS NOT RETURNED IN TIE- SAME CONDITION AS RECEIVED WILL Be <br /> CORRECTED BY THE EHD STAFF AT THE EXKNSE OF THE APPLICANT_ THIS ADDITIONAL <br /> SER�ICF VALL iW MILLED TO THE APPLICANT FOR PAYMENT. /SEE EHO POLICY 94. 007} <br /> 5. ORIGINAL PUBLIC FiLES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> i� ��as •••����P��•••1•••♦ � ♦• •• s; si• •1i��•+��•�,i •si• i�••���f♦�• <br /> SIGNATURE OF APPLICANT DATEZ <br /> 1 <br /> SIGNATURE OF RCI_EASiNCO FICIAL DATE <br /> EH 00 14 (REV SIE 6) <br /> IUTAL P.O <br />