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t <br /> SAN TCAQUIN 60011TY <br /> PUBLdiC HEALTH SERVICES <br /> ENVIR0NMFNTAL HEALTH DIVI5ION <br /> PUBLIC RECORDS RELEASE APPLICATIOU <br /> APPLICANT~ PHONIJ NO fj -I3`I S�• <br /> ADDRESS s�__e. _ T.Z.�__ ..--. <br /> A G 2 N C Y NAME L -OWCPHONE NO <br /> ADDRESS <br /> FULL ADDABSS HuSINESS NMEI Pf��Rl>M OR <br /> FACILITY TYPE OF FILE <br /> -- <br /> `aU�s &u <br /> ##*k,ttt,ticitil**,r�Ytitktt�rrt#r*rr*r#yr r,rr,r,rrry'x#r*tFirlt*ftic*it*tttf*itt�1-t#t***#yr <br /> THIS NOTICE IS SUBJECT TO THE SEQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHD) POLICY //94-007. ORDINANCE CODs✓ 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 FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED 8Y CALLING (209146"420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY 1 <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 5:00 AM TO 12:00 NOON AND 1.00 TO 4:30 PM. <br /> 3. A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED I3Y THE EHO 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 /> S. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ...... .......*......y. ............................., _.... <br /> SIGNATURE OF APPLIC T DATE <br /> SIGNATURE OF RELEASIN OFFICIAL DATE , <br /> EH 00 14 (REV 9196) <br />