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SAN ,IOAQUIN COUNTY , <br /> PUBLIC HEALlTI SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> yp PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT /7('u(t-j7wwaen PRONE NO Zo9- Sys'-Sfloo <br /> ADDRESS P. 0,3" 2.o SI<nc44,,, C.,/- <br /> AGENCY <br /> .,/AGENCY NAME PHONE NO <br /> ADDRESS <br /> PILE ADDRESS LEAD AGENCY DATE <br /> 13o-L F - rgf'„ tl 14c , Fclrrolw& ra ( r//4" <br /> I L Y S l,(/. -u/e Avt n efa <br /> 5/on i3e. 11toCed <br /> 2 q i �usFr is <br /> X 'iK F . L5k,ef <br /> — '/Z5 . U U <br /> 3^3 /Y <br /> LI <br /> /'( N S. `/-/SW <br /> TIIIS NOTICE IS SUBJECT TO lur RPQUIREM13N'1'9 IDP.N'IIFIED IN '11113 PUBLIC HEALTII <br /> SFRVICFS/ENVIRONMFNTALHFALTII DIVISION (FID) POLICY 9'92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND TIIE 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 APPOINTMENTS ARE SCHEDULED <br /> MONDAY T14RU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1.00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUIILIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO TIIF APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WI T'IIN TIE CUSTODY OF THE DID. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CIIARGF. 11IF BALANCE OF TILE CIARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF TIM APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO 'I'LE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL. PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANTI DATE <br /> SIGNA'IURF OF RFI.EASING OFFICIAL, _ —_ _ DATE <br /> 1:11 00 14 (REV 12/92) <br />