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• SAN JOAQUIN COUNTY • <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT c,iat, (hz)rns - QoVP io PHONE NO(7-0cf) 2S& -0 )1(y'� <br /> ADDRESS <br /> AGENCY NAME CcolcG%Cu( tqk(l � �ervi(es PHONE NO�zek)` 'Su- o-�vy <br /> ADDRESS I�03 Wei O'vcti Loi e, )urie A ,_, `IocLjori Cf+ j:S 3U'7 <br /> FILE ADDRESS LEAD AGENCY DATfl <br /> Stva.Fs Nocry;-10934 /fa✓Iat /Zd�1rYtia-i6i e ST PIIs�+ t7 <br /> 111Ccr ni`✓) M54 1�y 9L+h f4VCl I PLILII L �r <br /> Ic'l3 •• S havlcn 21 1 ova <br /> Grin Fe Lon"twt- ion- iosoo bCivWvl q, an Kr <br /> Z5b5 wirlucr•, Druz Stbcich� <br /> $1' erV(a <br /> 3'3q Lfw1Cr I)riye 510(.V_tt)4 SAN <br /> ?iT)Prn„i1Cne4 tc,K ei - J32b 'T¢ere¢ Dr,iS PUBUC <br /> �}Nio /f1 eS�Pr- <br /> ),-) 3-5' TPr�r'r. L�--� St9CE /IROP. .c <br /> P�•ccan'�z7 - isoo Lucre=✓loc 2�P , SYvcL—iv'� <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 T 4B 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 -gd,e • DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />