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,j Rd �i�1at <br /> 1 SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONNIENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Irca EYE- �' c� �p_ — PHONE N0.2 <br /> ADDRESS <br /> AGENCY NAME R ES A(1Q PHONE NO <br /> ADDRESS 121L ffhsiYl 5Y . Escckiov) <br /> FILE ADDRESSBE AD AGENCY PATE <br /> I �()d 5n E. rreml) o1 /0 - 19 - 9s <br /> �q / 36 E r,-nrnv,�tt s . <br /> j / 10 N . F2Ibor <br /> 41 `7/(o E saw <br /> / ? r wIVI <br /> '? Ll Seerra NeV6tda . V <br /> d35D 6 19 <br /> Q. COUNTY <br /> PUBLIC HEALTH S VI <br /> EAL <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIFNVIRONMENTALHEALTH DIVISION (EHD) POLICY iY974W. ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATS WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I _ A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. ' <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENT'S ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 430 <br /> P.M. <br /> 3 . A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSii O <br /> IS REQUIRED, DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILFS/RECORDS WE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> t . THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE FRIO TO REVIEWING THE <br /> DOCUMENTS)� 78��,o �n �% a � fz t(l /'' kCLIr• <br /> S. 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. <br /> 6 . ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> v` - <br /> \ SIGNATURE OF APPLICANT DATE ln -1Q 9 � <br /> SIGNATURE OF RELEASING OPFICIAL DATE <br /> FU 00 14 (REV 17J92) <br /> 70 ' d 60s£t3£8T 01 Wfl?I -4 L)HP.V , rn CG.F. T -1. T -F'1+ <br />