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4� 9 <br />L' SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />• " a i..-; 1.11L `i_1 1) V 1 <br />Bo�Gs re�cT <br />AF'PLICANT�N-IE'�,� <br />AEVRESS <br />AC ENCY NAME., /-„ PHONE NO <br />ADDRESS <br />*a*itlt********************************************************tk•k** <br />FULL ADDRESa BUSINESS NAME/ PROGRAM 0 <br />FACILI TYPE OF FILE <br />�r <br />*i***#***********#*t****,k***#****,kihctk*#,rr#+t*•k*#*****tt#ilr**#*ia******* <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, ORDINANCE CODE OF <br />SkN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE: CODE. <br />1. A MAXIMUM OF TEN j10) PREMISE ADDRESSES PER REQUEST <br />2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS. <br />ECS BY CALLING (209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br />TFIRU 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 />SI RVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE END POLICY 94- 007) <br />5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />•••ssassew•eswws••swsee lse.lee••!f♦A®®�O•!lOA�4f tlwwews•OOAe®sws•!!!`OAf4 <br />SIGNATURE OF APPLICANT,—�. DATE. <br />SIGNATURE OF RELEASI OFFICIAL C)ATE <br />EII 00 14 (REV 9196) <br />I!& Y.eviewec <br />