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lm/µ' , <br /> SAN JOAQUIN COUN'PY <br /> PUBL,T.0 11PALTH SERV'ICE'S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> �� l QgyPUBLIC RECORDS RELEASE APPLICATION <br /> PHONE NO <br /> v CSC'/ <br /> APPLICANIlJ n �l <br /> ADDRESS <br /> AGENCY NAME cfJ PHONE NO <br /> ADDRESS <br /> DUSINESS NAME PROGRAM OR <br /> FULL ADDRESS <br /> FACT LI'i'Y TYPE OF FILE <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHDI POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTM.E14Ta!I RE PROCESS- <br /> ED BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARESCHEDI ED 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 (PRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> BY SEERVICETED I <br /> WILL BE BILLED TO THE APPLICA NT OPAYMENT.YM NTPADDITIONAL <br /> (SEE POLICY EHD LICY 94 <br /> 0071 <br /> 5. ORIGINAL PUBLIC FILES/RE DS SHALLNOT BE REMOVED FROM THE EHD PREMISES. <br /> . .... .. ... ... ........I.... ............ <br /> .. ........ /, ry <br /> .. .... .. ... . ........ <br /> SIGNATURE OF APPLICANT T <br /> SIGNATURE OF RELEASIN FFI IAL <br /> DATE <br /> EH 00 14 (REV 9/961 <br />