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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES • ' <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 5(4r E6& n. AL-660 R . PHONE NO Tip j�-vr— Y7.3 y <br /> ADDRESS_ <br /> 7� <br /> AGENCY NAME HONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> ,�"o ff J alb F,r?-a C��� PaIy r4 ,r.., 1(634J Y6O /L Y`t Fffj <br /> ---�-0, 1 / /1e JJn.rnn QA_ Fi^.•rc• r- _`117j Y c,ug r`1 <br /> sa••• 1 6L O .Aa <br /> it F, A r�,p 9, Ye/nm= '4GJS 'f66(I Ya <br /> '7rul .1 rL D•• od• j/ ee"ti r'pv,ll. 9ne-E�•ib 462E <br /> If � �a,l �rsy f 4417 Pn( r �/aLIJ <br /> _ cr""A' bAYJJ.i H! 3�.1j0 230 47x4 ARL'J'C <br /> ( /ZI �r �q ! F v,rwG /veyo /lll n. i ? _ 3f'y� <br /> o 1 0 <br /> 6-'" C'71 I/ E/ / <br /> `rctic4 l.G..� �/u va'h«•rti aC i( : -1.s 2904 .5610 R(3/O:( c:. <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, 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, 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 (PRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL.BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> •t•s•aa♦.s.....s•s•a•r•as♦'•.++•..•♦.a...rasia.ar..i.aa..r.i ....... <br /> SIGNATURE OF APPLICANT DATE_ 31C X77 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />