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SIGNATURE OF APPLICANT <br />• <br />7-61101 <br />ii• <br />'171 !Liff <br />/1140: jf 3 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT -7::/c7Ain-77t-t4-(%) //4//r2LigkA:- PHONE NO .171(S- els7—/6zy <br />ADDRESS P-O. 80.X /S024/ -SA-rJ g4Fe1el- C-44. <br />AGENCY NAME PHONE NO <br />ADDRESS <br />***************************************************************** <br />FULL ADDRESS <br />k) ,e/ <br />„,,,,3ctufsid oti-e_ <br />BUSINESS NAME/ PROGRAM OR <br />FACILITY TYPE OF FILE <br />Stdeel”, 71;1 .)a- <br />ccrwi f- 0q- 1144' <br />sk-bz. <br />°delft-54)cj <br />***************************************************************** <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 110) PREMISE ADDRESSES PER REQUEST <br />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 />A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br />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 />ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES: <br />DATE /2---• z--6" 7-s <br />SIGNATURE OF RELEASINre FFICIAL DATE <br />EH 00 14 (REV 9/96)