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■ <br /> C� I 1 �� Ie S�- • v <br /> kv <br /> ,�Y:SAN JOAQUIN COUNTYPUBLIC HEALTH. SERVICES `,. <br /> - ENVIRONMENTAL- HEALTH DIVISIONkkw`3�* ' ' <br /> PUBLIC RECORDS. RELEASE APPLICATION'` x , J r � <br /> APPLICANT �'�TNY /2E�� PHONE 'NO N/(o�SIv�ZZOI�" <br /> ADDRESS tif�CE oe. SOT- <br /> AGENCY NAME PHONE NO <br /> ADDRESS ` <br /> 4.rF <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR -4 <br /> FACILITY TYPE OF FILE <br /> 3o z kl000pufr �,.occuP. tee. <br /> 445 w7 klex. .r�F �1I/aKrrsliJSF 4 73 <br /> 497- WE57 WEBS <br /> Y7n✓ .f'F1a�x1_O OW![-r.46FA <br /> 44B/�v��l��G,l l✓. G,/EB�- STa .;�•z� rte. � - <br /> �n �`r7GlTN [/�/lpLnJ zFPWAo!_4 0/77 <br /> 33 TNLEBG/24 G�-1/EE //aTEi2F,PLWr <br /> S A/, ,Q"O <br /> 4-0.5 All <br /> vac ow T C, <br /> 4,Y/ Al, �o�/2d� !3�� Pry%✓r-�&�o y <br /> yi24 N I/f�l .3c/ieE>✓ Cf��S� fH�/tidc-ET_ �� ;�;. �� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) 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 1101 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 `k! <br /> THIS ADDITIONAL <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. <br /> FY.. <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 /> t <br /> +aaa+a+++++sa+aaa+++aa+a+ +++++++ as ++ +a++++++a++aa+++a++�+ +++++a♦+++�+ > <br /> SIGNATURE OF APPLICANT DATE 3 2S 9 ' <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) s''�• <br />