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IU/V6/96 1UB la"i rnd-aua+oi xaa,: ••-- --- '---' - - •) <br /> 1111 SAN JOAQUIN COUNTY <br /> tt - <br /> v- 1 PUBLIC HEALTH SERVICFS <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �Ioza n eod-ansa ✓n PHONE NO aD9- i `/--/1106 <br /> APPLICANT Uan E nm <br /> ADDRESS n ,t7, S7rsc�'TyaJ 93- <br /> AGENCY NANO PHONE NO <br /> ADDRESS _ <br /> FILE ADDRESS ` LAD AGENCY DATE <br /> 56 C2 S Cho-0r7 <br /> 343h_ •Z`i(r � <br /> gcll I`11AP.� f1ti0 r'-�f4 Ftr � NIU• u �e� <br /> 3 0 <br /> TIUS NOTICE IS SUBJECT TO THE RE-QUIREIAENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/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 TKE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST_ <br /> 2. PUBLIC FILFS/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 /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A N2 -REFUNDABLE DEPOSIT OF $78.00 <br /> IS REQUIRED. DEPOSITS W-ILL BE RETURNED TO THE APPLICANT IF THE FIL.FSIRECORDS ARE <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 /> S. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDMON 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 FIIFSMECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DAT& I '/07,1 <br /> SIGNATURE OF RELEASING OFFICI DATE <br /> EH 00 14 (REV 12/92) <br />