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SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION - <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT L <br />ADDRESS PHONE NO ('y/rj I Z;' yrr- i <br />y ; Q„ S �j .� � /��' �nsf ��_�y •7 � <br />AGENCY NAME PH NE NO <br />ADDRESS <br />FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br />`FACILITY TYPE OF FILE <br />(U s ev I lE��I�(L drt.� �wM/O �Se-vim; LrJ-h� c fi.„ C�ryG �I'�G 5S� G uo° <br />f6_y I1 U� t i f� I 1Q wL4 - Zu <br />/or t r (F� J/Q rki21r i is l y L oY <br />V v B L4 CE got E;rAn- <br />31- C2 <br />J T G i) a H.� (�vae ✓ h. �... _Z3$0 7-1 7 `1 Q <br />y�� � . t �� r r • ., / �. F- �, r�ra :T���l�.crt� �' ; � .?�.-t�ti�1 �•t �t �. nit x-/ <br />1_0 6 i J -v, c <br />/r f r. <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL 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 TEN 00) PREMISE ADDRESSES PER REQUEST <br />2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY APPOINTMENTS ARE PROCESS- <br />ED BY CALLING (2091468-3420. 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/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT �< < j �;,, �j. DATE 3 <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />EH 00 14 (REV 9/96) <br />