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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> P � <br /> APPLICANT _ YV��2E PHONE NO <br /> cz"�E� <br /> ADDRESS —2-7 C <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME PROGRAM OR <br /> Sre FACILITY TYPE OF FILE <br /> c-c= �c4ALLc�� �D LLN�-3i�� 3c�o �L.�G btt �4 <br /> ,. •t2acv Pc:`i.CE Pact\.\�'t us•t>>;���T <br /> �' jd'Z Cv X4-1 �Gc.Q -_LAZli2G4� LIFE-C\Lrc uT Mc:c.. feCV.FETII.0 VAS� �'.�7' lt,� <br /> (v�l�►N.-rnJ>a.?C�CJ�. _ M/�w�TECP. �t�E�C. \1ST. ,.�l� ' <br /> A <Z:tk -CEQ_5�=��\CE i,L�L CCr�:CAM\Ai f!BIO N <br /> \So N IJiC�Ai1~ AVE MA LE`r GC Lity� 'cGw�-2 c::: crarn�w)?.�cCr� ,� z <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHO) POLICY 494-007, 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 TEN11001 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECOROS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420. 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 FILESJRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> it. 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 EHO PREMISES. <br /> . . . . . . .. ................... . ..♦.................................... <br /> ♦♦♦•♦1•♦•♦1•1♦♦♦1♦1••♦♦11♦♦•♦11a.1♦♦ ♦♦♦♦1♦• <br /> SIGNATURE OF APPLICANT �.i ..,�� Vy DATE Z`�J�J <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 1/1 (REV 9196{ <br />