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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES _• �� ��ys <br /> ENVIRONMENTAL HEALTH DIVISION - <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO �� L S <br /> ADDRESS ` <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> `f <br /> AN <br /> crr <br /> ixfts t--730-5 <br /> �2L <br /> AN l0XQUM CUITTI'y <br /> PLIBLIC W94 T 4 4P;'( ES <br /> Fp IVISION <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(SLID) POLICY#94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND TIE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY <br /> CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 PM TO 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br /> BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EBD PREMISES. <br /> SIGNATURE OF APPLICANT DATE -Z3-�`4 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> [VPHS/EE[lD RECORDs/FILEs ARE IDENTIFIED: <br /> Rzvuaww ir: NrnsstrAron DAta <br /> PHS/EHD RECOR.DS/FILES EXIST'ON THE ADDRESS(ES) NOTED. YOU WILL BE NOTIFY WHEN <br /> RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br /> DA79. Rsea,,zo n. NMTRCAnO!!DAML <br /> H 0014 <br /> JUN' r7, � f� <br />