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.0 9 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEAL'T'H DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT G'L ��� G�4'S '— �c y PHONE NO <br />ADDRESS l `__— S6'�'� �� 1 �z CiiG. <br />AGENCY NAME PHONE NO <br />ADDRESS <br />kn�T <br />D <br />BUSINESS NAME/ PROGRAM OR <br />FACILITY TYPE OF FILE <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL <br />COUNTY EHD FEE ANDHEALTH <br />POLICY <br />SAN JOAQU N CE CHARGER SOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF TEN10I PREMISE ADDRESSES PER REQUEST <br />2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br />ED BY CALLING (ZO9)468-342. OFFICE HOURS FOUDING HO®!DAYS, 8:00 AM TOR 2:00 NOON APPOINTMEAND NTSI RE SCHEDULED MONDAY <br />THRU FRIDAY EXCLUDING 00 0 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 />SECORRECTEDIWLL BE THE <br />TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 9PLICANT. THIS 4-007 AL <br />SERVICE <br />5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />+a+++aaa+++++a++++++++++++++a+++++A++ta+a++++t+++++++++la+++++++++++++++++ <br />SIGNATURE OF APPLICANT �� / _ DATE <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />EH 00 14 (REV 9/96) <br />.,„ <br />