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qq-. 0 <br /> E:04 E I V E <br /> u <br /> �j APR 19 1999 <br /> SAN JOAOUIN COUN'rY �IVVIHON MENTAL HEALTH <br /> PUI3f,7.0 IlrALTA SERVICES PERMIT/ SERVICE'S <br /> ENVIRONMFN'rAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION - ; <br /> APPLICANT PRONE NO <br /> t <br /> ADDRESS �Cz r <br /> AGENCY NAME PEiONL <br /> ADDRESS <br /> E_ULL O1llDRESS BUSI:NLSS NAMEPROGRAM OR <br /> FAC1L1'i"l_ <br /> 117Yp1=OF FIL_E'_ <br /> c � <br /> } } * k k k * ## <br /> if* } k #* ***# * } *# * k k k # **### k k *## *# ####### #**** * # Or # **# * k* * * k <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, EFID FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN LLOJ 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, 13:00 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 EIAD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO T14E APPLICANT FOR PAYMENT. (SEE EHD POLICY 9,1- 007) <br /> 5. ORIGINAL PUBLIC FILES/AEC RDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> . . . . . . .. ... . . #.. ** ... ..•.. . . .... . ... . .. ... .. .... . . . . ...... . <br /> .. . . <br /> SIGNATURE OF APPLICANT _DATE r�ry <br /> 7 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EI-i 00 1 1 (REV 9/96) <br />