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.... . ..... ,. . ..-. .,t. wu.... <br /> SAN �TOAQUIN COUNTY <br /> PUBLIC HATH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> .':.pPLICA.NT r4&dAC PHONE NOS/ /{ <br /> . DDR,ESS ` <br /> ,:.GENCY NAME , -�,i i,F' i1� • PHONE NO <br /> ,'.DDRES S <br /> i it,t#irtit�t*###,t*irttk�trfr***it*#ttr**,r�Rkt*,k,k�rfr�,Fklrtt*11111* t*#*�ik� wYr-k <br /> QfAj ADDRESS BUSIDIESS NAMES PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> , *ww*t,Ott*r*ter**tt*+rrr,r*,r**t,rt�r,�t*t*wrtt�rt*rr*�r**wtt,rtt***t*ttt�r*tt <br /> 1%-iIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> !iERVICESIEl1NVIRONMENTAL HEALTH DIVISION JEHD) POLICY #94-007, ORDINANCE CODE OF <br /> .;AN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTION ATER CODE, <br /> COVERNMENT CODE AND THE EVIDENCE CODE. � <br /> 1 . A MAXIMUM OF TEN � PREMISE ADDRESSES PER REQUEST /Fu <br /> ,., <br /> SEP <br /> PUBLIC FILEESlRE:CORD5 REVIEW 15 BY APPOINTMENT ONLY. APP����jj A ENTS ARI?f S- <br /> E'.7 BY CALLING 12091'4663420. OFFICE HOURS FOR APPOINTMENTS�RV�-jiL • flMONDAY <br /> TARU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AN1: ��3� .;.F�f-16ALTH <br /> A PUBLIC PILES/RECORDS RELEASE APPLICATION (PRRA) 1S REQUIRED. <br /> PUBLIC FILESIRE:CORDS 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 /> ';!-RVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SE=E EHD POLICY $4-007) <br /> ORIGINAL PUBLIC FILESJRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> i Ff+f++}i1F lFi tt rf itlEt w4/F!t#R4���•+��*�i�s♦+41F tfiht#1F iF4.4 Y1�1►R4i?��7�T�441F <br /> ;,IGNATURE OF APPLICA DATE <br /> IGNATURE: OF RELEASING OFFICIAL DATE <br /> E -1 00 14 (REV 9196) <br />