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I C.AP7T�t � <br />ESS 14f�1 <br />SAN JOAQUIN COUNTY <br />PUBL-IC HEALTH SERVICES <br />ENVIRONMENTAL FEEALTII DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />JcG.G (I <br />CY-- <br />FI4ONE NO 471 X70--[f7°c6 <br />)NE NO <br />ADDIIESS <br />I <br />FUL' ADDRESS BUSINESS NA,MEI SRR <br />i <br />FACIZ,IT't TYPE OF F2LE <br />�_U 5 T <br />�.t^LIJS T <br />V 5� <br />p <br />fmd'�-fr.cy C ¢Vty.� t .NCf,..0 CCS !.V Ski' <br />I _ <br />#t#i4x�#tYt#i###i*-`##>ti<#i###i,k##•k##i#*# f fitttf#ft*t##•4tf#*tf#-ti #it <br />THIS NICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUE3LIC HEALTH <br />SFRVC_S/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF <br />SAN jo,AQUPN COUNTY, EHb FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER 'CODE, <br />GOVEMENT CODE AND -THE EVIDENCE CODE_ <br />1. .A �AxIMUM OF TM PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FILESIRECORDS REVIEW IS -BY APPOI>fIFTMEN OLY• APPOINTMENTS ARE PROCESS- <br />EO ;BY; C_e LLING (2091468-3420: OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br />THRUlFi3IDAY EXCLUDING HOLIDAYS -8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br />3. A pUkIC FILES/RECORDS RELEASE APPLICATION IPRRA) IS REQUIRED. <br />a- 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 />1r <br />S. OR16NAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />waw. I....aa. as sw.ws•a. eew.• w•.a a................. <br />•e.e• ww a.....wwwwww <br />SIGNI TURF OF APPLICANT :ZIS DATE <br />SIGN TUBE OF RELEASING OFFICIAL DATE <br />EH 00 14 (REV 9/961 <br />