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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVIYCES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION . <br /> APPLICANT 2 <br /> PHONE NO <br /> ADDRESS pHi NE NO <br /> ACNAME-dc/ENCY — <br /> AIiDRESS <br /> *tl tt*t#tfitftt#**t{'**#t*tt*f#t*tt#tftlr+4tlittttfktt*#ttitik )r#tt*#tttfr'k <br /> N S NAME PROGRAM <br /> BUS R <br /> FiiLL ADDRESS TXPE OF FILE <br /> I~ACILITX — <br /> s57_ <br /> i <br /> ell <br /> I <br /> -- I <br /> #1 iiti####t#it#t*#t*t-t**tiiii#tt*t*#tt#I#t ttii�c##t#tttiii*tltti#ter <br /> Th,IS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> S€RVICESIENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF <br /> S; N JOAQUIN COUNTY. EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN jj0j PREMISE ADDRESSES PER i EQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENTi ONLY. APPOINTMENTS ARE PROCESS- <br /> THRU FRIDAY EXCLUD NG HOSCHEDULED <br /> ELI BY CLLINGLIDAYS,AYS, 8 00 AM TO. OFFICE HOURS FCR12!00 NOONENTS ANDp1:00 TO 30 PMMONDAY <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF Tk APPLICANT. THIS ADDITIONAL <br /> St RVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. ISEE EHD POLICY 94- 007} <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES, <br /> •. •sa+.......ws�w.sa..• •w.wa�t.tftt.i..awa�eff**waw•w•*as�lw..w.wt F►.w•,w <br /> SIGNATURE OF APPLICAN DATE Z7 F <br /> SIGNATURE OF RELEASI OFFICIAL QATE <br /> El 100 14 (REV 91961 <br /> I <br /> I <br />