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c�7 ZF <br /> 0 - 4;237 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> S 'PUBLIC RECORDSjE EASE AP.RLICAT ON <br /> APPLICANT Ci:4, oF1 a �H6NE <br /> ADDRESS �?- S5- Xj , Ec cam , Q <br /> AGENCY NAME PHONE NO <br /> ADDRESS 4 Afv <br /> FULL ADDRESSBUSINESS NAME / PROGRAM OR <br /> 5r �c <br /> FACILITY R1ev�a(�� TYPE OF FILE <br /> 17 5ojT& L ( ejco4. ,4j 636Z) <br /> ,53 � e <br /> v <br /> t 4/ �D f7T) ttJd F»r¢ wa y52� -z•`Z • dam L ! <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 <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 f 10) PREMISE ADDRESSES PER REQUEST <br /> 2 , PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS <br /> BY CALLING (209)468-3420 . 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 SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT, THIS APPLICANT, THIS <br /> ADDITIONAL SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY <br /> 94- 007 ) <br /> 5 , ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES . <br /> SIGNATURE;OFAPPLICANT+ ;< //;f DATE � � Z7t1;; <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> SEH 00 14 (REV 9/96) <br /> A <br />