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SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />vunNE NO .2— <br />A T <br />2 <br />A! PLlI j -Uv' <br />A DRESS PHONE NO <br />A' ENCY NAMfi <br />A ,DRESS <br />i tx+karr*rrr+t+rttt:tt+tkirix+r #irtttt+x*t+r*ti*i pRnc'*RAM*ORiar <br />ADDRESS BUS NE S A IyPE OFA <br />Fnr jr FACILITY <br />J <br />#*ttttt#*it+t*#t**#*i**xtt##k**tit*x***#iti tt*t#ittttt*xt*#*tt** <br />-HIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />iERViCES/ENVIRONMENTAL HEALTH DIVISION IEHDI POLICY k94-007, ORDINANCE CODE OF <br />;AN JO COON AND QUIN TEV DENCE CODE. <br />FEE AND SERVICE 1. <br />CHARGE RESOLUTIONS, STATE WATER CODE, <br />3OVER <br />1. A MAXIMUM OF TEN I101 PREMISE ADDRESSES PER REQUEST <br />2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br />ED B FO <br />CADAM EXCLUDING HOLIDAYS, 8:00 RS TOR12:00 NOON EAND NTS AR00 TO 4D30E MONDAY <br />ED <br />THR <br />3. A PUBLIC FILESIREGORDS RELEASE <br />APPLICATION (PRRA) IS REQUIRED. <br />S RECEIVE <br />WILL <br />CORDS NOT RETURNED IN THE SAME C PUBLIC FILESfRE EHD STAFF AT THE EXPENSE OFT E APPLICANT. THIS ADOD 0 <br />CNAL <br />ORRECTED BY HE D TO THE APP7) <br />BE <br />APPLICANT FOR PAYMENT. ISEE EHD POLICY 94 <br />SERVICE WILL BE BILLE- 007) <br />5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />•.• <br />...................... DATE 5"2 <br />SIGNATURE OF APPLICANT RATE_ --r <br />SIGNATURE OF RELEASING OFFICIAL <br />EH 00 14 (REV 9/96) <br />