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SAN JOAQUIN COUNTY • <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT t� ��6, (hlrrls • Oo V e,- o PHONE RSI. -o ),(,,( <br /> ADDRESS <br /> AGENCY NAME ( euleCiCu( ,qi•Id,� �ervi(2-3 PHONE NO�zok)9St - D,�by <br /> ADDRESS 1103 W M vci, L41viei Iftle A _ IDcHov), Cf+ cj.�7tJ'7 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> Stua'F5 Nv frt, --100,3 � i�r., lZd�trY�ohCcmQ 5� Pf+S�a itr7 <br /> (ilcci n n ol.!� 1l7J f&+jl f4yd i )'h,mll L wr <br /> Ic"Y3t, S HCjvlLn 21 ll <br /> Gerk, le (onctruLboo- 10c3o6116t14n 4, trey ar R... 11- <br /> 25bS wuy cm DCue, STPOCtU)'i <br /> SieV((A SQnngs 14-F) N WJ o.jni�(kfmt EEfEE APR 18—� <br /> Lr.0 , frv.h • 3i39 Lt�nLt Ilv� Je Ste(. SANJ��''"�_ �-` <br /> Trla , iti��S Pc�zi - �8zb 'Terree j]f„S PUBLIC <br /> Avtip Alit1)zr- 27 35 'Tzrprr. <br /> i_vc E lIROP. <br /> P�,•rcon'Rt7 - 3soa wcia.loc 2�PSiarl�-i��i <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 THE 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 k7 YnCW - L` C DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />