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SAN JOAOUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RIpLEASE APPLICATION <br /> NE NO <br /> ,nPPLICANF l J Qi fa c <br /> ADDRESS_�__� U � <br /> PHONE NO <br /> AGENCY NAM �- <br /> ADDRESS <br /> BUS NESS NAME PROGR-AM OR <br /> FULL ADDRESS i7L <br /> ITY TYPE OF FILE <br /> 1"I1IS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> DE OF <br /> SERVICES/ENVIRONMENTAL <br /> AN JO 5IEN COUNTY, E ID FEELTH ANDISERI®CE CHAR OE ICY RESOLU a ONS,, STATE WAT07, ORDINANCE ER CODE, <br /> SAN JOAQUIN COUNTY, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN Lfll PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOTMENT ONLY• APPOINTMENTS ARE PRQCESS- <br /> IN <br /> ED RY CAI_I_ING (299)4613-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 5:00 AM TO 12:00 NOON AND 1 :00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION {PRRA1 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 B1f:LED TO THE APPLICANT FOR PA MENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FI E S HALL NO E <br /> EMOVED FROM THE EHD PREMISES. <br /> + } } ♦ a a ra�f sa ♦//////���///sant atw as+*• <br /> a rt s a a s rt+a rt a rt rt a s;+ +a a rt • t DATEa <br /> SIGNATURE OF APPLI AN / <br /> SIGNATURE OE RELEASING <br /> OF 1CIAL � DATE ! <br /> EH 00 14 (REV 91961 <br />