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♦li �.JU rya UJ V46 0621 6LEINFELDER INC <br />a& SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMEN'T'AL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />-44 PHS/EHD Zool� <br />Now <br />i 9 g'j <br />AF PLICANT L%��,y�f-�-� yv,�i� • PHONE <br />AD DRESS <br />AGENCY NAME ,f^ �_ mac- �r 4a?Tv PHONE <br />AC DRESS <br />FCLL ADDRESS <br />L <br />BUSINESS NAME/ <br />FACILITY <br />t"'j IT <br />15 YeV12we-A <br />NO <br />RROGRAM OR <br />TYPE OF FILE <br />ThiiS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, ORDINANCE CODE OF <br />SI..N 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 />E0 BY CALLING (209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br />TI IRU 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 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 FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />•�esseeeaeeeeeess•`ee •s eessseeseesseesseeeeeeeeeeeeeee•eeeeeeeeesseeeee <br />S GNATURE OF APPLICA DATE /D/.• /_ <br />SIGNATURE OF RELEASING OFFICIAL QATE <br />E 100 14 (REV 9/961 <br />—Ft) c.aw.+eX iolz�l�� <br />