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1-2 7-1997 4: I F1F'M <br /> � V <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT_,1 /1,/t`ouRGxPHONE N0(7u°C) <br /> ADDRESS /P63 Ly• Aeo—,-Az /.s ins° <br /> AGENCY NAME pf{z,5- PHONE NO <br /> ADDRESS <br /> FILEADDRPS5 LEAH A(ENCY DAI <br /> 3'{I L'• JU/9_�g P1 0h1/,l� /oa�J Stf /�v-97 ST <br /> Nv it u T- <br /> A1/ Al- /49PIA/!t,AW. Jl�i'Jf/ (� couti�i9 'I S <br /> �dl� - <br /> yc{e <br /> I1I15 NOTICE IS SUBIECP TO TI([ REQUIREMENTS IDENTIMED IN THE PUBLIC HEALTH <br /> ( SERVICGS/ENVIRONNIEN'PAI-HEAT-TH DIVISIONIEIID)POLICY X92-007,ORDINANCE CODE OF SAN <br /> ,d JOAQUIN COUNTY, FED FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXINIUNI OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. MIRIJC f1LE5/R ECOR DS REVIEW ARE RY AP 'L01DL- 1iNT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTn1ENTS ARE SCHEDULED <br /> MONDAY T HRU FRIDAY EXCLUDINO HOLIDAYS, S:00 A.M. T'O 12:00 NOON AND 1.00 P.AL TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RCCORDS RELEASE APPLICATION AND A NUN-RNON-R C�DEPOSIT OF S79.0D <br /> IS REQUIRED. DEPOSITS WILL Eli REILRNED TO 111E APPLICANT IF TiIE.FILESIRECORDS ARI;- <br /> NOT AVAILABLE WITHIN THE CUS'FODY OF THE MID. , <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 1S APPLIED TOWARDS THE TOTAL FILE_ REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE IP UOK TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTEII BY THE EHD STAFF AT 774E EXPENSE OF THE APPLICANT. THIS ADD1110NAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILESTRJ=CORDS SHALL NOT BE REMOVED FROM THE EHD PRLMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />