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EII OU 14 (REV 5/514) • SAN JOAQUIN COUN'T'Y 0 dQtJ-tQra7� <br /> PUBLIC ITEAL'.I7I SERVICES UJVL1te � g -97- <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECOILUS RELEASE APPLICATION <br /> APPLICANT- f f �S PHONE NO 3 - 116,S_Y <br /> ADDRESS <br /> AGENCY NAME� v4fe � ��� ^PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 894-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISC ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-W40. OFrICE IIOURS POR APPOINTMENTS ARE SCHEDULED MONDAY T1IRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM rtv 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) 13 RBQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THIS SAME CONDmON AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT TIIE EXPENSE OF THE APPLICANT. T1119 ADDITIONAL SERVICE WILL BC BELLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO PHS/EHD RECORDS/FILFS ARE IEllEN"1'IrIED: <br /> DATA! Rfmpfwnn■T: NnnmCATTf"DATn: <br /> PHS/EHD RECORDS/FILES EXIST ON THE ADDRESSES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECOREIN ILES ARE AVAILABLE FOR REVIEW: <br /> DArRi RavFxwxa n: Fkmmcrnr»e'Dnttr: <br />