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• " ' - 2 <br /> 99- 1195 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEAL'T'H SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ! +'L(2 PHONE NO_ _��_— <br /> ADDRESS 19 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> **,r****t,t�*•x****,r,t*,r**** r***+,r*,t**** t**w**,rtr**** r**,r****ww*;r****w <br /> FULL ADDRESS BUSINESS NAME PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> 6-� fi ►n ea <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 (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 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (P'RRA} 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. ISEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> 51 <br /> a s a t a a a a a a a a a r i t e i a a a a a a a i a a i s a a ♦a i a a a.a a r t a n <br /> SIGNATURE OF APPLICANT Gtc DATE-21 � C <br /> SIGNATURE OF RELEASING ICIAL DATE <br /> EH 00 14 (REV 9/96) <br />