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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO 916 441-3570 <br /> ADDRESS 1828 TvNoalo Ra. IlA <br /> AGENCY NAME NoorAwnt C014 PHONE NO 916 649-3570 <br /> ADDRESS 1828 T-c%b to 12.1. 4A <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 2�Vl wear Lavc.. <br /> f�vNc<t iN Molcll�� �N� 1MIIIwuv K. CFF <br /> 3-230 N. Wnr L>vyL StF <br /> ' Iz3$ Al i�w AKvly� E L0P <br /> I cavvvy KVF IL�tE Alrjiw <br /> t�cll Du1�IbuNvo� 152,3 CL 1' t1 FH <br /> s <br /> i <br /> 4 <br /> a THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> ' SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#97-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> ' GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> s <br /> Y <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW. ARE BY APPOINTM ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)165-0340. 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 06 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 MID. <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 TPF <br /> DOCUMENT(S). <br /> m <br /> � • / 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> �va 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 FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT ' 0e/bW-- DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> rr•� crn�^�aa rc* .-. ,n�J '.r^_^•r-n r-cc r_or_-n <br />