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I-II UU 44 (REV 5/94) SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />FAVIRONM-NTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT -�� �� ='-' PHONE NO <br />ADDRESS_ �-3 ? o' <br />AGENCY NAME —i [• ! r .� ,% L r PHONE NO <br />ADDRESS / <br />FILE ADDRESS <br />LEAD AGENCY <br />y5- 16 <br />L% <br />DA'L'E <br />']'HIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STA'L'E WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />A MAXIMUM OF TEN (10) PREMISE ADDRESS U, PER REQUEST. <br />2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT' ONLY. APPOINTMENTS ARE ARRANGED BY <br />CALLING (209)468-0340. OFr•IcE IIOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY TIIRU FRIDAY <br />EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br />3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br />4. PUBLIC FILES/RECORDS NOT RETURNED IN TILL' SAME CONDITION AS RECEIVED WILL BE CORRr-cIT-D <br />BY TILE EHD STAFF AT T11E EXPENSE OF THE APPLICANT. Tills ADDITIONAL SERVICE WILL B13 BILLED TO THE <br />APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br />5. ORIOINAL PUBLIC FILES/RECORDS s114L rj0T BE <br />SIGNATURE OF APPLICANT <br />SIGNATURE OF RELEASING OFFICIA <br />NO PHS/EHD RECORDS/FILES ARE IDENTIFIED: <br />I)AIn! Rrmmvan my! KmF1CATt(M DArn: <br />FROM THE EHD PREMISES. <br />DATES <br />DA'L'E <br />PIIS/EHD RECORDS/FILES EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br />RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br />Dern' Rwvtmvao 11re MMInrATION Dnim <br />