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LI T UO 14 (REV V 5/ 40 SAN JOAQUIN COUN'T'Y 10 <br />PUBLIC HEALIZI SERVICES <br />ENVIRONMENTAL HEALTII DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />6APPLICANT PHONIB <br />a' <br />ADDRESS <br />AGENCY <br />ADDRESS <br />DATE <br />FILE ADDRESS LEAD AGENCY <br />%_L <br />AI <br />'1'IIIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, S'T'ATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF TEN (I0) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br />CALLING (204)468-0340. OFFICE HOURS FOR APPOINTMENTS APR SCHEDULED MONDAY TIIRU FRIDAY <br />EXCLUDING HOLIDAYS, 8:00 Ahs TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br />3. A PUBLIC RECORDS RELEASB APPLICATION (PRRA) IS REQUIRED. <br />4. PUBLIC FILESMECORDS NOT RETURNED IN TIIE SAma CONDITION AS RECEIVED WILL BE CORRECTED <br />BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDfIIONAL SERVICE WILL BE BILLED TO THE <br />APPLICANT FOR PAYMENT. (SEs EHD POLICY 94-007) <br />5. ORIGINAL PUBLIC FI <br />SIGNA'T'URE OF APPLICAI <br />SIGNATURE OF RELEASING OFFICIAL <br />SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />NO PHS/EMD RECORDS/FILES ARE IDENTIFIED: <br />DAxn: Rzymw= R: NunF CA" DATE: <br />DATE <br />DATE <br />PHSIEHD RECORDSIFILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WIIEN <br />RECORDSIFILES ARE AVAIL.WLE FOR REVIEW: <br />DATe: Rw®'no rT: Nminwim DATBs <br />