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�., ati. .., .,ye .via La.L a. i..L✓a,: a. b P.ID- CILLI a ¢i,U�1 <br /> qq - L <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION raceNed <br /> PUBLIC RECORDS RELEASE APPLICATION OCT 15 <br /> APPLICANT - -. z� ii PHONE NO 9llr <br /> ADDRESS PHONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> ixttt##twa#taatt wwttt+xt#tar#liar#iatttk#+ta#witfw#ttw#tt#trtt*tx <br /> FU4TL_DRESS B_USIN SS NAMEZ PROGRAM OR <br /> FACILITY TXPE OF FILE <br /> xr+txrt+tx# <br /> +};{c#tR•i�k�*iwt�Ol#It xl#�i#tttit#i tiiix#wti#w <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007. ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN M01 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS <br /> THIS EIVEDADDIILL E <br /> uv"KECTED BY THE EI ID CTArr AT TW5 FXPENSF nF THE APPUGANT <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ................................................................0.......... <br /> SIGNATURE OF APPLICANT DATE_ <br /> SIGNATURE OF RELEASING OFFICIAL QATE <br /> EH 00 14 (REV 9196) <br />