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OO- 7� <br /> SAN JOAQUIN COLnvIT"t <br /> PUBLIC 1 EALTH SERVICES <br /> ENVIROW4314 'AL, RHALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AQ I;rcarrs o lo.-L PHOM NO-21(0-10Z <br /> ADDRESS C Idc C6 <br /> AGFA'fCY NO �. <br /> 3�DD>�ES S <br /> #rirytf4#rirtyF,ti►irlk-kiriFiriik�k�tvl� lr,kt*tt**k**#t#t1t#7tXt*!*7twxyrxxityhR#Y►+k�kltyrltek4i <br /> F"L ADQ9= HUSTN.RSS Nat4RL PR0QRX OR <br /> TYPE OF FILE <br /> ' + 3 � uA► C.np C�t�J2o �* �rg3 — �S7_„ ,� <br /> 4 [} <br /> r <br /> N th L!c� ._ <br /> 9 C7" <br /> THIS NOTICE IS SUEUECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION IEHD� POLICY#34-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, t HD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE COD!~, <br /> 1. A MAXIMUM OF IMLL%PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY AEe9jff.TMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY.CALLING I209KGS-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THAU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3, A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILESIRLCORDS NOT RETUSN>iD IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT SHE EXPENSE OF THE APPLICANT, THIS ADDI77pNAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHO POLICY 94. 007) <br /> 5. ORIGINAL PV13UC RLES/RECORDS SHALL NOT BE REMOVER FROM THE EtlD PReMISES. <br /> ++fa+i...rt�rta•fa•►�a�..sa... a++i*..•as•;#ts; tr.aaai..af�..rrs•►r <br /> SIGNATURE OF APPLICAN QPATE <br /> SIGNATURE OF RELEASING QF-RCIAL DATE <br /> EH 00 14 (REV 91"1 <br /> TOTAL. P.IJi <br /> .j <br />