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�f <br /> RECEIVED 99-- 167 <br /> J u L a 71999 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PUBLIC HEALTH SERVICES <br /> PERMIT / SERVICES ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> APPLxCANT �L.Sa,' 4. f 2'jPHONE NO <br /> ADDRESS 3!5-Z Q . 0 <br /> AGENCY NAME 5 -1:7 PflONE NO g, - -- <br /> ADDRESS - <br /> FULL ADDRESS BUSTNESS NAME1 PROGRAM OR <br /> FACILITY C TY�PEf OF FILET <br /> S9 I 0 ��C IT• _- -. ._ 'G�S-I"�.�c,.��CU ago <br /> iAxz 0.0 _ '- <br /> 14-: L � <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICY 1194-007, 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 (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS 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 BILLE=D TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> - ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> • ♦ � ♦ 1♦ ♦ ♦♦♦ ♦♦s f♦♦♦f i a♦♦♦♦ •t♦+++/♦'i♦♦ ♦ f!1 f♦f i♦1 !i 1 i i 1♦ ♦ �•r� ♦��a t e ♦ ♦ 1 f i <br /> SIGNATURE OF APPLICANT DATE Z+ ! <br /> SIGNATURE OF RELEASING OF CIAL DATE <br /> EH 00 14 (REV 9/96) <br />