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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> (� ^� 0PU LIC RECORDS RELEASE APPLICATION tea. <br /> APPLICANT lbfe ' PHONE NO <br /> ADDRESS PHONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> xxxx+x++x+x+x+xx+xxx++xx+x++xxxx+xxxxxxxxx++xx+xxxxx+xx+xttxxx+++ <br /> FULL-ADDRESS BUSINIiSS NAMEL PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> I�G-�Mw,�.�l cry->..v- cA.�s�, � �3�1 s4-e.�•�s�� ✓�.1. M�� �9��4.Qti c.�.�:�- �� <br /> x++xx+x+xx++x+xx+xx++xx+xx+xx++x+xxxxxx+xx+xx+xx+xxx++xx+xx+x+xxx <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI 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 (110) 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 /> ... ... ............ <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />