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loz aL. LI 1'(.5� iv ••••�� <br />gh AL"y ) <br />ff Q6 -,g9 <br />EAN JOAQUIN COUNTY <br />prhiY•IC IIEALTB SBRVICFS <br />,NVIRON4jENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />.P1iONE NO <br />APPLICANT <br />ADDRESS w ,C� FlZ•- PHONE NO <br />AGENCY NAME <br />ADDRESS <br />t#+ttfi t*+rvt++rttti*+'.'t*t*tt*x+t+x�t+*it*rt*ttifit**+***�'t*+t**tttt <br />EILL"_` ADDRESS <br />BUSINESS ," M <br />PR R <br />TYPE S FILTs <br />Tiiir? <br />..a 4..da L / <br />dill <br />a <br />l++ <br />y • <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />ICY <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION tEHOI POLSAN d94-007, ORDINANCE CODE OF <br />GOVERNMENT COUNTY ' CODE ANDFHD FEE AND SERVICE THE EVIDENCE CODE. CHARGE RESOLUTIONS, STATE WATER CODE. <br />1. A MAXIMUM OF TEN t7Q2 PREMISE ADDRESSES PER REQUEST <br />Q. PUBLIC FILESIRECOROS REVIEW IS BY APPOINT EM NT NL APPOINTMENTS ARE PROCESS <br />2EO BY CALLING . <br />FRIDAY EXCLUDI G HOLIDAYS, 8.00 AM TOR12 00 NOON EAND 1:00 TO 4:MpNDAY <br />30 PM <br />3. A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br />4. IECRDSONDITION AS <br />WILL <br />CORPUBLIC FILES/FRECTED BY THE EHD STAFF AT THE EXPENSE OF THEOT RETURNED IN THE SAME APPLICANT. THIS ADDIDT ONA 8E <br />SERVICE WILL BE BILLED TO THE APPLICANTFORPAYMENT. (SEE EHD POLICY 94- 007) <br />5. ORIGINAL PUBLIC FILES/RECORDS <br />.............. <br />SIGNATURE OF APPLICANT... <br />SIGNATURE OF RELEASING <br />EH 00 14 IREV 9196} <br />HE REMOVED FROM THE EHD PREMISE <br />•DATE 2 17 <br />a to 1%/I nATF I�✓ "� :� _ <br />