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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION PUBLIC RECORDS RELEASE APPLICATION _ APPLICANTILr LCLIPHONE NO 94�t9 �134$ ADDRESS Z 2 S L . M`t12-TLL Sr-• 9S7os AGENCY NAME _PHONE NO ADDRESS FULL ADDRESS BUSINESS NAME / PROGRAM OR FACILITYa TYPE OF FILE 1904 Ws AZTL'R- (nIR `( PUfLEC-iiz:a a�w iL �� A- b :Fzclr�( 95-0) 0'" t T1Zr3N 0 ST1 S C i12 l Fel (�J 4 rR/k[LS �i C 3 szP, ) )< LCMAp1lYM_T_ _ ,F- a ZISU W1 Wet y FF)p4-;> 14 r=IA 1-tOcA'�ji> r` ,.l r, .- i L 5 � Qjl7 5 . ��Sn)�t • Q/i-�AIP-/,� 112 �JGKfN(^�� =� r,, .4r .L �� z-rT— * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH SERVICES /ENVIRONMENTAL HEALTH DIVISION ( EHD ) POLICY #94-007, ORDINANCE CODE OF SAN JOAQUIN COUNTY , EHD FEE AND SERVICE CHARGE RESOLUTIONS , STATE WATER CODE, GOVERNMENT CODE AND THE EVIDENCE CODE . 1 . A MAXIMUM OF TEN ( 10) PREMISE ADDRESSES PER REQUEST a 2 . PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY , APPOINTMENTS ARE PROCESS- s ED BY CALLING 1209 )468-3420 , OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY EXCLUDING HOLIDAYS , 8: 00 AM TO 12 : 00 NOON AND 1 : 00 TO 4 : 30 PM , 3 . A PUBLIC FILES/RECORDS RELEASE APPLICATION ( PRRA) IS REQUIRED . 4 . PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT, THIS ADDITIONAL SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) 5 , ORIGINAL PUBLIC FILES/RECORDS S ALL T EMOVED FROM THE EHD PREMISES . SIGNATURE+OF APPLICANT; • DATE SIGNATURE • g . * + ` • ' - SIGNATURE OF RELEASING C CAL DATE EH 00 14 (REV 9 /96)