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96�1 � <br /> i <br /> SAN JOAQUIN COUNTY <br /> PUBt_,TC HEALTH SERVICES <br /> ENVIROMULNTAL IMALTH D?lrlSloav <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO (` (3'7)yZi- IE55 <br /> ADDRESS meq! vv LV 0 0 Z I G At 4 S 3 <br /> AGENCY NAME P HONE No SQA e5� f S $F�6� <br /> ADDRIISS <br /> b�T 7.ali P,D RjLEss BSS NAL FtZOG R.W---OR <br /> FACILITY. I. TUB QF _FILE <br /> r"h.L <br /> br .'l <br /> ' 7 77 m1 <br /> ro F <br /> 4�W <br /> i <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVIMItJWRONMENTAL HEALTH DIVISION (ENV► POLICY 994-M7. ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATLR CODE. <br /> '• <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN JM PREMISE ADDRESSES PER REQUEST <br /> l <br /> ' 2. PU(3UC FILES/RECORDS REVIEW IS Sy AI'PUi1!PffNT Sl�lLT- APQOINTMEuTS ARE VROCESS <br /> BY CALLING (249)468-3420- OFFICE HOURS FOR APPOINTMENTS ARF SCHE[7ULFD MONDAY <br /> THRU FRIDAY EXCLU[NNG HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 pm- <br /> 3. A PUSUC FILESMECOROS RELFASE APPLICATION (PRRA) tS REQUIRED- <br /> 4. PUBLIC F1LESMMCORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE END STAFF AT THE EXPENSE OF THE APPLICANT. THIS APPLICANT. THIS <br /> ADDITIONAL SERVICE WILL BE BnAED TO THE APQLICANT FOR PAYMENT. (SEF EHD POLICY <br /> 94- 0071 <br /> 5. ORIGINAL PVBLIC FILESIRECORDS Si-(ALL NOT BE REMOVED FSOM THE EHD PREMISES. <br /> Faaaaaa##t#Irl#• #r/#11a►f�i#♦ra#*�afit#i►�rarrr40#......arra rra#... <br /> tt+aaa� <br /> SIGtdATURE OF APPLICANT DATE <br /> SIGNATURE OF Rti EASING OFRL-IA- DATE <br /> EH 00 14 LRt:V 9196) <br /> TUTAL P.02 <br /> TOTAL F.E2 <br /> Ix1n s <br />