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------------ <br /> 97 -va6 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 1/Cbz r (��,�'�; PHONE NO 94?j '( S.41– <br /> ADDRESS =n•5r Aiyg-F •Si.hryc: A), CA 95705 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> �o1I EO/! v ll C AO,4,-r Dr v r— 24(vO - ab c. <br /> 1 rip zz - <br /> F ini= N Yt/1� i�� SL�U(�G61fo51�y�P /1L� lti� rt �Slt(�j 2 , <br /> 118Cn S• PAuaN , ' �Bw4N54N f s5 rMJEs�'+t�115 Z - <br /> - vi Z 9 <br /> ll Z �iAR r I'p IfAlt L" Nelb U ZZ- _ <br /> OP 0 <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 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 12091468-3420. 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 IPRRA) 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 /> •....•.•.••.•..•••..•..• • • • • r ••.••..••...•••••• ♦••••.•••••.•.••. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING FFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />