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IV/UH/8C luE to:V! ren--sua'u uio •• - __- --. - a ,� <br /> SU LTLUQVI <br /> ,,J11 SAN JOAQUIN COUN'T'Y jop . - <br /> F t t i PUBLIC HEALTH SERVICES <br /> ENYIRONAjFXTAI. HEALTH DIVISION <br /> PUBLIC RECORD RELEASE APPLICATION <br /> U z a 1'i e vl 4p-r an PHONE NO dD <br /> APPLICANT Vgrr E nw �L <br /> ADDRESS A) 9.Was <br /> AGENCY NAME PHONE NO <br /> ADDRESS _ <br /> FAD AGENCY DA <br /> T& <br /> FILEADDRRSS L- <br /> Swl4tal <br /> ALN Z , coilrn_� o r� _ — —— <br /> 30o4 G . EL <br /> O <br /> r <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESfENVIRONMENTAL HEALTH <br /> SAN <br /> JOAQUIN COUNTY, E141) EES AND DIVISION POLICY <br /> ERVICE CHARGERESOLUTIORDINANCE <br /> ONS, STWATEROCO E <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A hfA?OhiUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/;Z-CORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0330. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 5:00 A-M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC <br /> DS RELEASE APPLICATION AND A EPB-RE-F-UL4lDBLE DEPOSIT OF $73.00 <br /> IS REQUIREDUDEPOS TS 7 <br /> Pr7LL BE RETURNED TO THE APPLICANT E THE FIT rq//RECORDSARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> ABOVE4. THE TOTAL <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOTO REVIEWING THE <br /> DOCUMENT(S). <br /> 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 FLIES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> � DATE <br /> SIGNATURE OF RELEASING OFFICI <br /> � ✓I L� <br /> EH 00 14 (REV 12/92) <br />