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APPLICANT_ <br />ADDRESS <br />AGENCY NAME <br />ADDRESS <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />Q <br />?7- <br />05.-J <br />PHONE NOlZl — cfr,T' <br />FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br />FACILITY TYPE OF FILE <br />._ �(U 60C11? opo <br />Y <br />f "'wa Jcq ustu * /y.,` (l0rk/ ?fZtl" l6�c-1 Z'�' <br />Lo v L4 Ce ,( f�'iN•al �;,h.L _J Ys'3 J-�i?. �!b <br />5Lsu /a tr.4 {, ECS/ ltS. d v7.1s, U /7 ! Z k N <br />/as ------------ <br />h <br />es <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 />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 (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 />p a a p b # s a } i a # a # # t i # #ppb # # b # # ¢ } # # } # # # # # # 4 # # # # # 4 i # # # $ # # b } p } } # # $ # <• i } } # # # #.# # } # # i <br />SIGNATURE OF APPLICANT DATE <br />/,�jj DATE <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />EH 00 14 (REV 9/96) <br />/ l <br />---------- <br />