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SAN JOAQUIN COUNTY <br /> PUBLIC: HEAL'ITI SERVICES <br /> ENVIRONN'tF,NTAL HEALTH I)IVISIvN <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> AI'rLICANT ,�( �. Au e u PHONE NO0-/7) 007O- 22S <br /> ADDRESS L__ fox inerc< <'t+"e� iu, c /mssy turf GJorlti TX 7c/o.2 <br /> AG"ONCY NAMPHONE NO(T7),r7o- <br /> ADDRESS 3oI Comn.s.cc <br /> FIL <br /> .ti <br /> g _r�nRP Ls" j2A1$ <br /> NS <br /> PAYMENT— <br /> pECcj)jvrn <br /> --- jAvqa <br /> --'SAN 10AU IN COUN;l(rule S <br /> ENVIRONMENTAL HEAL�nN <br /> THIS NOTICE 15 SUBJECT TO THA RP_t)UIRPMENfS IDENTIPIEU IN THE PUBLIC HBA417i <br /> SFRVICESIENVIRONMENTAL HEALTH DIVISION(EHD) POLICY M-M, ORDINANCO CODE OF SAN <br /> JOAQUIN COUNTY, EHD PEES AND SERVICE CHAROR REJOLUT/ONS, STATG WATQt CODA. <br /> r,OVERNMENT CODE AND THE EVIDFNCP. C<)1)13. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDMSES PER REQUEST. - <br /> 2. PUBLIC FILES/RriCORDS RFVIFW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> •.RRANGED 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 RELF•ASE APPUCA'iION AND A NQN-Rrt'UNDABLE UGPUSI'T OP$13-w <br /> 13 REQUIRED, DFP0.91'TS WILL B8 RF71)RNEU TO 7116 APPLICANT IF THE Pi[.ti.S/R13CORDE ARS' ,,,, <br /> NO'T AVAILABLF. WITHIN THE CVSIUDY 017'INE 1741). <br /> 4. THP A13UVE IDENINIFI) DEPOSIT IS APPLIFU 'IUWARDS THH 'I7ITAL VILE NHVIEW PHU <br /> C11AR4iF.. THE BALANCE OF TILE CHARGES ARE DUE AND PAYABLII 'I R OR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBuc nLES/RFCORDS NOT RM,, .IRNED IN THG SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY 1118 EHD STAPP AT THE EXPENSE OF TIIE APPLICANT..TRIS ADDITIONAL . <br /> SERVICE WILL BE BILLED TO T14R APPIJCANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC ALES/RECORDS SHALL NOT BE REMOVED FROM THE EIID PREMISES. <br /> e� SIGNATURE OF APPLICANT DATE <br /> SIONATURr:OrRF1..EASINGOFFICIAL — DATE <br /> FH On 11(Rry 11/92) <br /> TOTAL P.01 <br />