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99-163 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATIION <br /> / <br /> milt � E NO, S �(d2 - FN�o ffD� <br /> HONa ) <br /> t3aAPPLICANT i4G <br /> ADDRESL <br /> 97a <br /> /7� DO ✓ i c� voNcs Tc�� <br /> PHONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> xxxxxttttxxxxttxxxxxtxxxxttxtttxxxtttttxxttxxxxttxtttxxxtxxxxttxx <br /> BUSINESS NAME PROGRAM OR <br /> FULLS SS FACILI71 TYPE OF <br /> s75' 61-7. rr"-w /Z- <br /> 62 <br /> LD 5- <br /> r ciG ST. <br /> /7S / .V <br /> �. %��'-•L� 'fib' <br /> i 7 3 SZ� <br /> /7 <br /> xxxxxxxttttxttxxxttttttxxtxtttxttxxttttxxttxxttttxxxttxxxxtttxxxt <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 (101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS <br /> ED BY CALLING 420. OFFICE HOU <br /> - <br /> AP <br /> FRIDAY EXCLUDING APPOINTM <br /> ) 3HOLIDAYS, 8 00 AM TOR12:00 NOON 1 . <br /> TO 4:30 PMSCHEDULED MONDAY <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- 0071 <br /> P <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM7HE EHD PREMISES. <br /> ................................................. ........ ......... <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE OF RELEASING OFFICIAL <br /> DATE_� <br /> EH'00 14 (REV 9/96) <br />