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q7 -��6 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT f/C Y,u t� LZa-'6, PHONE NO 94?) <br /> ADDRESS I_V)J_'' — AA tf7R : S COCK C4 957�� 5 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE 'OF FILE <br /> FGM f EJ 2 joLlPc/}O# ti`( Pt:j&— 29(x0 allL <br /> �hs'b 7 ZW �YV1QF� '�Lt� LZi 0- <br /> 110 F <br /> - <br /> 110F S. HAttcaN �, ' r5 [NUEar�'+crJiS Z <br /> Z.9 <br /> I I -l4� laAQ�r 1Lo 41Ait1a•�1 NtriC�H u,�u <br /> AOV o <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 10 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3420. 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 (PRRAI 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 SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ....................... . . ( ................ <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING FFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />