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i•- _�,v .-—— a....._ _v.. –..- __ .-- 'YOF if <br /> 7 <br /> �/�� <br /> SAN JOA,OUIN COUNTY <br /> _ PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAN DRONE NO �7 . <br /> ADDRESS <br /> AGENCY <br /> NAME <br /> PHON5 NO <br /> ADDRESS <br /> rf#,t*#*,r%'�*t,r,ra+**,r�**�##,t*k�,►***,t+t*ir*#*++++t,t,t***t!**►r,►tt:R,r**7t* <br /> FiJLL ADDRESS BUSZNFSSDAME/ PROGRAM FILE <br /> FACIlAl TYPE OF E F <br /> 7, - <br /> 8. ..r- <br /> 9. <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY 094.007, ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, END F15E ANO SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN 101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY, APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420. 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 /> J. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA1 IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE SHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADOMONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILESJRECO S SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> as aaaa anaaaaaaaaaa••aaaa as aaaa aaaa asaaaa <br /> SIGNATURE OF APPUCAN DATE <br /> $iGNATURE OF RELEASING OFFICIAL ,DATE <br /> s. EH 00 14 (REV 91961 e ` <br />