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_ - ., . <br /> izi zsi a t�c to:s4 me cua ay®'vett_ ,na.carrca.vcsc—_ •�� ans.cuu <br /> ®v3 <br /> SAN JOAQUIN COUNTY , <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT LAN HONE NO (Zo9l. � <br /> ADDRESS <br /> owm.c ape <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FULL ADDRESS• BUSINESS-� NAME/ RIM= OR <br /> FACILITY TYPE OF FILE <br /> • X50 E.FcrntPyA-c7 SRP ,4R-M�s D �Po-f'�,�j CLA0 Z_3 Lt4 <br /> • t I. 5. h>y Cho ..L1 5a�tFwt� � LA(A- <br /> • • 'atE� l� Bt,. n. .4�L- <br /> • :xxx###ttx##t####s######x:�*#####•#*sx####w••* # ##xx##*####xxxa'# <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, 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 'LEN,LM PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 1209)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 FILESIRECORDS RELEASE APPLICATION (PRRAI 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 EHO POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES*DSSHALLOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANTDATE <br /> SIGNATURE OF RELEASINGL� DATE <br /> EH 00 14 IREV 9/961 <br />