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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES RNs <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT mit h r� PHONE NO <br /> ADDRESS C_ 7- 1&\ <br /> AGENCY NAME � PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> loaf I Pte( PG2L5� - z-5-9s <br /> 7L 0 Dr v-c. ('D, <br /> Lt )01 5 . Airbv-rY w1z" R1. �LS <br /> 1 1 G :E-e �r-.Rz S <br /> D I 5 vi A- <br /> 7 <br /> l-- .. C6Y+es � �• <br /> 4-3 <br /> u 1 5, r-1 D cpc, <br /> c150 <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 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 (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPourrmENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOARMENTS 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 FI .ES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PR12vaSES. <br /> SIGNATURE OF APPLICANT DATE S S <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> No PHS/EHD REcoRDs/FII.Es ARE IDENTIFIED: <br /> Dwnc R�sr: Nontxwnar D.: <br /> PHS/EHD RECORDS/FII.FS EGST ON THE ADDRESS(FS) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RECORDS/FILPS ARE AVAILABLE FOR REVIEW: <br /> �-� Davie: Rc�a®m Nmmund�Davie: <br /> 1 (REV 519 ) <br />