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. '. •SANJOAQUIN COUNTY • � I� �-'7�'`-1/lP� Vl�'a <br /> PUBLIC HEALTH SERVICES `> <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Y�1(� I� PHONE NO <br /> ADDRESS <br /> AGENCY NAME n PHONE NO <br /> ADDRESS <br /> E ADDRESS LEAD AGENCY DATE <br /> -a <br /> 11 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(SLID)POLICY/94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (I0) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW is BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU 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 THE SAME CONDITION AS RECEIVED WQ.L BE CORRECTED <br /> By THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THis ADDMONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> $. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT 17ML, DATE I'IS—cI S <br /> SIGNATURE OF RELEASING OFFICIAL. DATE <br /> No PHS/FID REcoRDs/FILES ARE IDENTIFIED: <br /> DAn: Ravma®m NmmcAna+DAn: <br /> PHS/EHD RECORDS/FH.Es EXIST ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DAre Revmw®xr: tfvmicAnax DA= <br /> / <br />