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i <br /> { <br /> SM ,TOAQUIN COUNTY <br /> PUBC,T.0 HEALTH SERVICES <br /> ENVIRONMENTAL HEALTIi DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION l .I <br /> PHONE NO <br /> APPLXCIINT <br /> ADDRESS_ <br /> Sc.PHONE <br /> AGENCY NAME G � <br /> ADDRESS D j <br /> kk•k k A * <br /> I <br /> BUS YNE S NAMEPROG aRl <br /> BULL DRESS TYPE <br /> ) ,t3CILITY OF <br /> *,{rk**sir•k,M1� k******•k�e '#r•hl*i* ** I <br /> •k <br /> kk* # kith+Yk **# kfrkk# kk****irk I ! f <br /> IN THE PUBLIC HEALTH I i <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMF_NTS IDENTIFIED <br /> ICES/ENVIRONMCy jyq <br /> ENTAL HEALTH DIVISION (EHD) POLI .RESO'LUo ONS, STATE WATER LODE, I <br /> NCE c6bE OF <br /> SERV . <br /> SAN JOAQUiN COUNT`{, EHD FEE AND SERVICE CN I <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. I i <br /> PREMISE ADDRESSES F ER REQUEST ;. { <br /> 1 , A MAXIMUM OF TI=N i <br /> /LENT ONLY: APPOINTMENTS ARE PROCESS- . <br /> �. PUBLIC FILES/RECORDS REVIEW IS BY APP'eENTS. 1 <br /> TEEING (2091468-3420. OFFICE HOURS FOR AP 0 O 1 AND1R00 TO CD30 PMI I�110 I <br /> FO BY CALLING <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 13:00 AM TO 12.0 <br /> 3. A.PUBLIC FILES/RE <br /> CORDS RELEASE APPLICATION (PRRA)_IS:REQUIRED. <br /> RETURNED IN THE SAME CONDITION AS RECADDITIONAL :ED WILIl I <br /> 4. .PUBLIC FILES/RECORDS NOT ` <br /> CORRECTED BY THE LE D STAFF AT THCANT FOR PAYMENTEXPENSE OF THE , S�EHD POLICY 94- 007) ; ! <br /> SERVICE WILL 6E BILLED TO APP <br /> PUBLIC FILE <br /> COR S HALL NO REMOVED FROM THE EHD <br /> 5. ORIGINAL PP,EMISE'� .;I ` <br /> .. . .. . ••• G_z ` <br /> . . : . . .......... ..... . . DATE i <br /> I i f <br /> SIGNATURE OF APPLICANT • �• <br /> DATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 14 (REV 9196) <br /> i <br /> W08-4 lJdyb.�� �66ti-S�-qC <br /> tO',� htrCBb'?b <br /> Ol <br />