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A <br /> SAN JOAQUIN COUNTY ' <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AP P L I CANT CA TI-)2 �" P HONE NO <br /> ADDRESS 4Z3 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAMEZ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> �'iti:Zl� 7-j.�,77 C: Sof:�N 7�;2. CC1/V rl/IlE7lIT/fkL �/��3C�II,SJC�J �i\�� <br /> fry/S 7�rrTl ' z:5�iA I 7e,,e Il1012177A c:- /n/G _3S.L r, � l }� <br /> I�?ll ` ill Fr 2l=�r�T�c�r �+ll <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94007, 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 TEN LLOJ PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209}468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:OQ NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FfLES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED INILL 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 FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> *.4**..a ...44.4. <br /> SIGNATURE OF APPLICANT DATE /Q�1i I.7 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 91961 <br />