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-7AA\A QS <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO <br /> ADDRESS _ C_oQ'ctN; CA -mki j <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> CULL ADDRESS BUSINESS NAME PROGRAM OR <br /> FACILI'T'Y TYPE OF FILE <br /> �G'2 C.LL4L FF A LEG-s�E �L Q\AC��N�' C-C>t.:i L'AM�►J A-t�c :�J��!��- !�'�c- <br /> E3'c a\ S'�. tQAc�r {�c \CE F ACAL\z`i \�S'T T <br /> j0-'Z ��v-tN �r.,An ._LA'tN2G� L1FE�lL'�c o-a- Mc�c.,��CV.FETtLC VAS� r �"' 1f�. <br /> �` 4-i�LAN �C.I+O �FG,'FtJct\ CAw�P Moc�r�Q ct- Mot:,�ctZL�FEz���. I��ST <br /> \(7 t\ �? Yy1/�1N nnA�cecP. . cwLN tEcA N Epi �-53 7 v <br /> ✓ \SCSN J\l�C LAi� AyE MAQL.EY Cox LitvG 'towi�Q :� warn+►:fr�.T K, <br /> may,szf� <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 JOAOUIN 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 /> 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 Jit- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE` ••a• .............. <br /> OF APPLICANT .---DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />