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" I <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION ry <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO 20q <br /> ADDRESS '2 <br /> AGENCY NAME { - y� 5 G PHONE NO Zpq - <br /> ADDRESS _50 4,41L_ <br /> FULL ADDRESS BUSINESS N_AME_ Z PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> IC. ti�.� 1GiQi [ I'i12tH 1 Uelel�i Tt <br /> I _t�fO Vim.'U c 2H'um Ems uv y "A-co Qky i^rLCc} <br /> (lute-ems P+-a,o t..AX, f3 -. . <br /> hIA-R-'° <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, 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 1101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENT'S 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 FiLESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> a+altarrs+rrr+arrarataaa rr ataaraaaa aaaaa rt+;arasasaa a�rr rasarrrrrrrr aria <br /> SIGNATURE OF APPLICANT ki DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9196) <br />