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SAN JOAQUIN COUNTY • <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 'r-ro4t Myy-\s PHONE NC(-7ZcI) R5& -0 )-(, ( <br /> ADDRESS <br /> AGENCY NAME &eulcC ;(O dc4clrl �ervl(e-� PHONE NO�zOq)91Su - p- vb <br /> ADDRESS 1303 wyliov(.ti Lcsviel Sctlie /F Sloc�iUn�Cr� c)S-}0'7 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 'JNO'f5 No-xrw --10034 /tIV14I'l1241 tret7th ST P11s )Fmt7 <br /> Plcci non Y11 1�0 t L+h IZcucl Freu�ll C it <br /> IC'73 •: S rlLn Ey <br /> uJI <br /> Grin to LCncteuetlQfl 101300 419v14n Re, cr <br /> 2535 D(luz, Sivcic.twt <br /> Sleo'r(r Sgtrno,i N W t).,r ih 15iocklm� pQR 1 —i <br /> d rrei; ' 3t39 lGhtrl)vive . S7o( SANAO-' ^ <br /> Lct.x) c, ; <br /> i�Pnn�iL_.'na fA�r/ - X526 TeCrPt �(�is PUBLIC 1- <br /> , <br /> Aw-K) Ahe-%icr- 77 3 "Te°rere D+--. SroCE UP <br /> JIROP. .0 <br /> xclton :#z7 – 3soo CVLiir> to 2'f Siml�i�Yl <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. 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 THRU 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 PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF T 4B CHARGES 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 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 /> SIGNATURE OF APPLICANT -Aaa6 l w6YV -Qac`e 1.i.- DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />