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I� As <br />--ffSEEP-12 "�Sl 0�0 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEA'bTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT ►✓a,v���'zo ��}-� A� PRONE NO C5 16 <br />ADDRESS 31 GSI a 1A <br />AGENCY NAME PHONE NO <br />ADDRESS <br />q(q - 02 (�' 6 <br />FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br />FACILITY TYPE OF FILE <br />i3 t�•co S1 1-�0 S (3 — nn %hv tRa�. ►�en� po-9ic <br />J.. <br />THIS N TI EIS SUBJECT TO- THE ,REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTALUIN COUNTY,EHD FEE AND IVISN (EHD) SERIVOPOLICY <br />SAN JOAQ ICE CHARGERESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE 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 PROCESS- <br />ED BY CALLING (209)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 FILES/RECORDS RELEASE APPLICATION (PRRA) 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 EHD POLICY 94- 007) <br />5. ORIGINAL PUBLIC FILES/RE RDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />eteeeteeaeeaeet+steer+ ee e e�awaseaeeeaaeaaeaeaeaeeteesteaaaaeseeatete <br />SIGNATURE OF APPLICAN <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />EH'00 14 (REV 9/96) <br />