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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT�aI RvrfrlRra� t 'oz r!t_v iA Ku'1r PHONE NO(ew) 64y - 3570 <br /> ADDRESS_ 606 TRrBvTF ;�D 4101 tA1l?-4m rtTo cA 9�b'IS <br /> AGENCY NAME flaLE LrKGY F Iy ROcorl Irl L PHONB NO nor <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DRAB <br /> 1 31Z FA. r CIIOR'f5g wA`l > Na1 Girm F10Y 6rJ7= <br /> _9H PAST CuaRTr/' w4y op 3 IB 9Z <br /> I EPLE Fi K i s-rgrr 1� H nor LrJTtn <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN TETE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POUCY,B92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHO 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)168.0340. 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$78.00�. <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANC$ OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING Tim <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE fiHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. , <br /> 4. ORIGINAL PUBLIC FUM/RECORDS SHAH,NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 9L S? <br /> SIGNATURE OF RELEASING OFFICIAL <br /> \J DATE <br /> EH 00 14 (REV 12!92) <br /> ♦n•J CTnrI�prjT�T � n�..IJ iylr .l.f'1 r"��T .�T��f'1 <br />