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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �l �L �IL 1✓� PHONE NO <br /> APPLICANT S <br /> ADDRESS <br /> AGENCY NAME "i% v PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME/_ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> c-_ ) 1 <br /> 13 <br /> F . (-[ rLi� ►_ ._,.�, � k�' �tll�rL� L7��n <br /> 1.1(.�L �.1`'�.���;(�Lc_n ` 1c-'�C � �Yt1'icUt�l _ �q.�� -�'a'►5 �'i �1.� `� <br /> { ! �'!.• �= (`�.�, �t .l �,:,� r I` 6hi ��,, J��Stz.• �9 Z J,l5 I <br /> { ? �•I~- tLl�,.r�,► 1..�.�,,__y- I`� FF I{1`t ( ? ,M:•.; t_LlS�, t-t t��. <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY #94-007, ORDINANCE COOS 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/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT ' �� ,1111 L DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br /> Q/ ��C�� <br />