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SAN JOAQUIN COUNTY • <br /> PUBLIC HEALTH SERVICES <br /> ENVIIiONMI:NTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION/ <br /> APPLICANT R�,ll 1 1, , P PHONE NO09),551 -aa7/ <br /> ADDRESS ;-tjn 9,5057 <br /> AGENCY NAME J £ E PHONE NO �SC1�m r <br /> ADDRESS <br /> t- mcl, '4 �. <br /> FILE ADDRESS LEAD AGENCY D <br /> ' ? 5, Lir)col rJ t ct I P, fps <br /> 1.399 � t�1�a ,✓1 S _ _' / <br /> S !(J l iYl n if' <br /> , o N r"Yla,n ,St-, ;lr/ all uJ <br /> rY11*1,r1 i— ) - ., i;, :-� ,r3,. <<,jIc ; Cpa� k.r <br /> i .5 , YIlZ t1 Ss i l n ,v,1-o d (_u.m_hpr- <br /> :', ;� C�PII 'L- dQ <br /> TIUS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SJRVICES/ENVIRONMENTALHEALTH DIVISION(EMD)POLICY#92009,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- ABLBDEPOSIT'OF$78.00:>= -" <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILr&fRECORDS ARE <br /> NOT"ARABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEB <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PBIQ$TO REVIEWING TkM <br /> DOCUMENT(S). <br /> \ 1, S. 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 FRZS/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT r �. BATE <br /> J <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EN 00 14 (REV 12/92) <br /> .9'd £65;£TSST n1 W021d Wt1S£:TT £66T-9Z-89 <br />