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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH V ISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT -(:� �L� PHONE NO <br /> ADDRESS '2';Z-] lirtt s N u 5 Lv•-t-e-"I ..e S n CM c, 7 <br /> AGENCY „AMB Tw i i� (u< ( V1 8� S PHONE <br /> ADDLtBSS <br /> FH.R ADDRESS LEAD AGENCY DATB <br /> O �wtwt-R Lsas,e BfMcon 1210 1+wwiwiC-eQ <br /> nL 13P Ot( µ (in( 14(oq I+w.mt! <br /> Tpip+prow„ zcSs ( °wiMCwL MENT- <br /> e�- <br /> Sttel Sno3 IIuF,,.l K.1 C-iC <br /> rukt- llt(vy 2 !?1993— <br /> b Sr Lty-m kais.,- jv�,L�J Ts 73 wosr Ca i neplal c(3UNIN <br /> Lk)ES D I� /EnkPX' r( • 7401) l,�.t$F LG.t.c R�Ll11Cy1 AL1 N <br /> 0 l EF(3 O Cad-1 O Wuf Lau FNVIRONMENI AL <br /> V Z oz- I f4-rv( O Lsha.o4Ynr- <br /> Lr <br /> IRIS NOTICE IS SUBJECT TO THE REQUMEMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENViRONMBNTALHRALTH DiVtBtoN(SHO)POLICY M.001, o"tNANCB COOK OP MAN <br /> JOAQUIN COUNTY, ERI) FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. 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)46811340. 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-REFUNDABLfi DEPOSIT OF$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 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 FRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILBS/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE MD 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 DATE <br /> SIGNATURE OF RELEASING.OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />