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4WAW/ / /) <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES vc <br /> EqVM0NNUFMAL HEALTH DIVISION <br /> PUBLIC RECORAS RELEASE APPLICATION <br /> APFI]CANTv a N C K i b b t FIIONI3 NO <br /> ADDRESS <br /> AGENCY NAMLI�yortc1 . .o �hYivovl41•K7ct FRONS NO `f <br /> ADll ,ESS 1803 W Marc I vl SGT a <br /> FLLB ADDRESS LFAD AGENCY DADS <br /> W4y7 S• )4ir�er�' , 1v'a� $t1f- ti � S� <br /> Tj <br /> Is- OUb <br /> It <br /> 96 <br /> THIS NOTICE IS SUBJECT TO THE REQU1RE.k1ENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERYICES/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 THE EVIDENCE CODE. <br /> 1. A fAAiTNIUI.I OF'T'EN (10)PRb621SH ADI)RESSFS PER REQUEST. <br /> 2. PUBLIC FIISSMECORD.S REVIEW ARE BY APPOINnJENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALL] (:09)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE"SCILL•DULED <br /> MONDAY TRAU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.ht- TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLb DEPOSIT OF $78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO TIIE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WLTIIIN TILE CUSTODY OF THE EITD. <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 /> CORR FCTED BY TILE EMD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE MLL BE RILLFD TO THE APPIICANT FOR PAYMENT. <br /> 6. ORIGINAL.PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SiGNA:MRE OF APPLICANTL( DATE <br /> SIGNATURE OFRE[F.ASTNGOFFICTAT.l 111 �1Vi DATE 'I _ <br /> EH 00 14 (REV 12/92) V <br />