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99-102 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC 11EALT11 SERVICES <br /> ENVIRONMR.NTAL I[EAL'T'II DIVISION r'F.f!Alii i <br /> PUI31 C RECORDS RELEASE APPLICATION <br /> APPLICANT / c _PHONE NO �- � �V <br /> A1)1)RESs <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> * k k k ** * ** * * ** ** **** ## #** k* k# * k k #*** k# * k # * k #***# # k * * k# k * ******## <br /> .FULL ADDRESS DUSINGSS N11ML1 PROGRAM OR <br /> FACILITY TYPE OF_FILE <br /> * k * k k#* **#* k*#***** k**#*** k #*##** k ****** **#**#### * # ** *## * *** k* * *# <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTI4 DIVISION (EFID) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EFID FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN j10� PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> FD BY 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 FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE '.TAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EIAD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EI-1D POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECO NOT BE REMOVED FROM THE EHD PREMISES. <br /> .. .. ............. .. ... ...... . .. . . . .. .. . .. . . . <br /> 7 <br /> SIGNATURE OF APPLICAN/T DATE � <br /> SIGNATURE OF RELEASING OFFICIAL _ CJ ATE `I / <br /> )d <br /> EH 00 14 (REV 9/96) <br />