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06-24-199?.02:43AM FRG, TO �1 19163667013 P.02w 01 <br /> 9� <br /> 163 <br /> 1 <br /> 1 I SAN JOAQUIN COUNTY <br /> I I PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLIP11NT C�O �1 PHONE NO <br /> A6DRE;S. S C (,P- <br /> -AGENCY NAME ��ecr� PHONE NO <br /> ADD; ESS -<n-7-7 f= �cIP <br /> I <br /> I FULL1_ kDDRESS BUSINESS NAME/ PROGRAM OR <br /> I ��jloTTy TY_$E OF FILE <br /> ! �V <br /> 1 <br /> ! <br /> 1 <br /> i � I <br /> 1 j t <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SEPVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007. ORDINANCE CODE OF <br /> SAN JO;AQUIN COUNTY. EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GQVERNMENT CODE AND THE EVIDENCE CODE- <br /> 1. <br /> ODE_1. A'M,1XIMUM OF TEN (101 PREMISE ADDRESSES PER REQUEST <br /> I � ' <br /> " <br /> Z. I PUBLIC FILES/RECORDS REVIN <br /> EW IS 13Y APPOINTMENT OLY APPOINTMENTS ARE PROCESS- <br /> EDI BY CALLING (2091468-3420: OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THIRU Ff'iIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. . <br /> ! <br /> I EE <br /> 3. 1 A;POBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PU810C 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 /> I SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> ! 5. I ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> •�y i i i K a a�a♦�t��.�.a.�i t�♦ •♦t♦• ♦ t a f a a�•__.a t a t♦♦...•.a a��1 a�4�.* •♦ <br /> Sldl\I lTUi3E.OF APPLICANT DATE <br /> SIGN�TURE OF RELEASING OFFICIAL DATE <br /> EH O 114 (REV 9/961 <br /> ! I <br /> E <br /> . TOTAL P.02 <br />