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T- a.9cy <br /> SAN JOAQUIN COUNTY == <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION ;v <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO 20q 0) <br /> ADDRESS 22 <br /> AGENCY NAME Lf:elf. n C PHONE NO 2061 - b(O'+ 0 1 <br /> ADDRESS 50 <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> ( I MIA- 2' <br /> (.+d . = <br /> �4 it,-t,,4a.).y , t mit AA Lt <br /> 1ST Vim:-AIIc�M•(� �mrtiyv� -�ee� Cr"VAi21_G� 1' r, Mtt� =>> <br /> t*ickt7t****stir*#*�r***#1r** Ir*�c•kkit* kt.k***k****ir*it*** t*stir****it* t*�rt**it <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY X94-007, 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 u 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) 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 /> +++++++++at++++s+a lata++ •+s++++++++s t++++a+++++s+++++++++ a++♦ <br /> SIGNATURE OF APPLICANT DATE IU o2-S <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />