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SAN JOAQUbN COUNTY 5�7>/yy <br />PUBLIC HEALTH SERVICES -^ <br />ENVIRONMENTAL HEALTH DIVISION <br />Q <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT �r I q y1 (�T;t+mC4 V) PHONE NO 20"j 1176-1h36 <br />ADDRESS Sj 5iG Q✓�4� �,� / S�"�l` �o� 95207 <br />AGENCY NAME if,o11 F i✓PS-l'o;n Zvi - PHONE NO <br />ADDRESS <br />FILE ADDRESS <br />ol11 TCl of S+OC._>`ov1 <br />-�K 1819 5 Ar 0 v?cl m4 <br />SfoC' -)'o'n <br />LEAD AGENCY <br />Tan �'eunova F% <br />DATE <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PWIW?i <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (END) POLICY #92-007, ORDINANCE COD <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />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)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 />IS REQUIRED. IRECORDS RELEASE APPLICATION <br />DE OSIITSWILL BERETURNED TOTHE APPAND A LICANT IF THE FILES/RECORDS <br />AN -REFUNDABLE DEPOSIT OF RE <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 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 />CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. T141S 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 <br />S/�jU �- DATE <br />SIGNATURE OF RELEASING OFFICIAL <br />DATE <br />EH 00 14 (REV 12/92) <br />�� s l7/Fy <br />