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ci <br /> ' ! 99-200 <br /> r 11,L <br /> S:AN JOACIUIN COUNTY <br /> PUBI-,IC HEAT,TFI SERVICES <br /> f ENVIRONMENTA.13 HEALTH VIVISIUN <br /> ( PUBLIC RECORDS RELEASE APPLICATION L--Y-T" <br /> i <br /> APPLICANT PST Yr�GZ PHONR <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> ♦ • ♦ 4 4 A # i i k***.# • *** i ♦ r*yr# # R * '• • • • A A *i 1# t t• 4♦ A k ►♦'• }-t i#'♦ 'f A # A'♦'+ # • 'k A A !. A <br /> i <br /> FULL-&Q BLiSIN�G`+ N11l�);�L '1?_OG1?J�t�OTZ <br /> {VW�+tom_ Q�St 'rl _ � L <br /> Iry * r + *{ r • • A + #+lA ♦+* + A4a aa* f�* * ** A *** t**w+* ♦* **♦t*• * t+A AArrA <br /> TIAS NOTIC17 IS SUBJECT TO THE REOUIREMFNTS II)FNI-IFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HFALTH VIVISInN (EHDI POLICY 194-007, ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STA'rE WAT[R CODE, <br /> GOVERNMENT CODE AND THE EVIDENCF CODE. <br /> 1. A MAXIMUM OF TEN f t0J PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECUftDS REVIEW IS BY API'C_INTMENT ONLY, APPOINTMENI S ARE PROCI-SS- <br /> ED BY CALLING (209)468.3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, H:OU AM TO 12:00 NOON AND 1:00 TO '1:30 PM. <br /> 3. A PUBLIC FILESAIECORDS RELEASE APPLICATIM' (f RRA) IS REWIRED. <br /> 4. PUBLIC FILESlRECORDS NOT RETURNED IN THE :TAME CONDITION AS RFCFIVELI WILL HE: <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT, T1415 ADUITIONAL <br /> SERVICE WILL K. BILLED TO TIIE APPLICANT FOR PAYMENT. (SEF EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILESIRE:CORDS SHALL NOT HE REMOVED FROM THE EHD PREMISES. <br /> . . . . . . . . . . . . ..4. ..... . . .. . . ........ . . ... . ... .. . .. .. . .. ..... .. . . . <br /> SIGNATURE OF APPLICANT DATE 'S <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EI-I 00 14 (REV 9196) <br /> 3 <br /> 'It 3r'Hc �11 3-IIL�I-Itl�Il•IOW �.5�6(15E:6[36 yGt:Ti. GGCTiS{1%T!J <br />