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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> v4h PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTS (F/� l-( Y/ � R G L`' �'� PHONE NO <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> FULL ADDRESS BUSINESS NAME / PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> GIfFU? oma/ 3S rtl� � 2fv l �� b� <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__CO_UNTY,_EHD_FEE_ANDERV_LCE CHARGE-RESOLUTION_S_ ,_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 , APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)46&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 ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. ( SEE EHD POLICY 94- 007) <br /> 5 , ORIGINAL PUBLIC FILES/RECORDS <br /> / SHALL NOT BE REMOVED FROM THE EHD PREMISES . <br /> SIGNATURE OF APPLICANT' /� �� DATE " • + <br /> RELEASING DATE Iy� . . . . . . <br /> SIGNATURE OFR OFFICIAL <br /> EH 00 14 (REV 9/96 ) <br />