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Uv,'Vll vo 1VG <br /> SAN JOAQUIN COMTrT <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RRCORDS RELEASE APPLICATION <br /> APPLICANTJ�� I�� PHONE NO <br /> ADDRESS _ <br /> AGENCY NAME PHONE IIB <br /> ADDRESS���,� <br /> **��**#�**��*�-�****+***�**�**wx•*##*****�****,�*�***#,�** kir**�**#�* <br /> FULL ADDRESS 13VSINESS PROGH8(r1 OR <br /> ,CACILITY TYPE OF FTM; <br /> '�I'r��Nini�s�j�/I�/h'ffl���- �/i7 V_��F,�.{�- �itl�D_ ��i[lC�✓��t/� <br /> lt�d�/ 1'f.�'�YA/r�S(.P1�- - GtBdIA��_—�lI✓�- EIV c6 � st7L <br /> D,IC r T 64j <br /> p i <br /> r <br /> 7-w-4��t7 RG rtLs {�� .C40_:js 0e 7 r/y�l���r/��y�_��1 ��jt�7- r r/l <br /> E^/Y� 7G-iI� W tGL.� iL!t /IVR J . <br /> �maea 'All <br /> !' af,2,02NM6 �2e�a ?tTt <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PURI JC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION IEHD) 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 TEN (101 PREMISE ADDRESSES PER REQUEST <br /> 2_ PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED SY CALLING (2091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> 3. A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL 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 FILESIRECORDS SHALL NOT FE REMOVED PROM THE EHD PREMISES. <br /> ts••i..+ssss+s+•+++.ss*►•es++.sstssssssaws.•++st++••++rs;+s+•+;++.••.ssas++.+ <br /> SIGNATURE OF APPI_ICAN q4e_c_���./ <br /> .DATE_2 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 MEV 9/961 <br />