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At <br /> J SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PHONE NO (s/o) Y y 7- 6 y 9s <br /> APPLICANT ' <br /> a�!<pf Cr�cle L uG�ro'e yi5 <br /> ADDRESS I<'L)CC^ PHONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ <br /> BUSINESS NAME/ PROGRAM OR <br /> FULLS SS FACILITY TYPE_ OF FILE <br /> 25775 5- Pa <br /> tterS0 1 Allr o <br /> P�yS 2 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) 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 TEN1�0. PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> TED BY CALLINGH U FRIDAY EXCLUDING(209)468-3420. <br /> XC UIDNG3HOLIDAYS, 8:00 AM TOR12:00 NOONEANDA <br /> 1:00 O 4:30 PMMONDAY <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 /> IOY THE EHD STAFF AT THE EXPENSE OF THE APLICANT. THIS <br /> S RVI ETED WILL BE BILLED TO THE APPLICANT FOR AYMENTP(SEE EHD POLICY 94- 00O7AL <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> . p.......... <br /> /./'_"f <br /> ......�.....................................• DATE+Zg�C. is / <br /> LLN <br /> SIGNATURE OF APPLICANT/ � <br /> SIGNATURE OF RELEASING OFFICIAL <br /> DATE <br /> EH 00 14 IREV 9/96) <br />