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-ILI <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEA'bTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT v'c> �tio �� A� PHONE NO X516 t= 13 <br /> ADDRESS 0 Ick pri v 2 O <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> ,FACILITY TYPE OF FILE <br /> 013 <br /> sl�t� <br /> �� <br /> �f 20 w. � .a3oaa�►'Lt---I-��-s.. tce- o... <br /> •k*�r*ir**•Ir*�r�rikilr*•!r***•lrkF*ir�lr•k*ik�r***�r•kkiklr*�t**ir�r•kk**yYir�t*�rk•k***iciric•k**1t*1t <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, 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 J101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED 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) 1S 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 END POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILESIREC RDS SHALL NOT BE REMOVED FROM-THE EHD PREMISES. <br /> artaaararraaararraaaat as • a�+}r+aa+aaasaraaraaraaaarrr�rarsa a*+a+asaira• <br /> SIGNATURE OF APPLICAN YJ/ DATE 2 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH'00 14 (REV 9196) <br />