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SAN JOAQUIN COUNTY <br /> [-,tltif.,CC IIEAL,Tll SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P(113LIC RECORDS RELEASE APPLICATION <br /> G. <br /> APPI,TCANT �(ilr 11 (�y (�t,lCa� �C� PHONE NO <br /> ADDRESS <br /> AGENCY NAME "� PHONE NO <br /> ADDRESS (' I <br /> * k <br /> 13USIP1I SS r111Mr:[ pjj0GRAM OR <br /> 1._t11 L AI)I�RES� TYPE OF FILE <br /> FAC t LT'('Y <br /> r' >, C(-,1 lc tElf,l <br /> k k k k k** **k* k**'k*** k*'k** k k* * * kk* <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 (101 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 NOOK! AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> it. 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 SMALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> e e a •e e • .r,e s s • t�s s s <br /> . . ..... . .. . . . . .. r e s • a . . ...... . . <br /> a s• s e s + e e e s s •r+ e <br /> DATE <br /> SIGNATURE OF APPI-ICANTc G V(� i Cb`1 � l c_' <br /> SIGNATURE OF RELEASING OFFICI , �/" ' Y — ATE <br /> FI-i 00 1,1 (REV.9/96) <br />