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SAN JOAQUIN COUNTY • <br /> W,IC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PHONE <br /> APPLICANT_ <br /> -; C i role c r }� Cis <br /> ADDRESS PHON <br /> E NO <br /> AGENCYt=2 <br /> ADDRFSEPXs <br /> I.EP�1i? AG P� <br /> — APL- <br /> S� I g f U <br /> G d�k _9.�..___-- <br /> ' - - - <br /> 4,' SS _ <br /> rn <br /> CT TO THE REQU�MENTS IDENTIFIED THfi PUB <br /> LIC HEALTH <br /> TFIIS NOTICE IS HEAL.g DMSION(EHD)POLICY#92 art,ORDINANCE CODE OF SAN <br /> SERVICES/ENVIRO D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> JOAQUIN COUNiY, <br /> GOVERNMENT CODE <br /> THE EVIDENCE CODE. ` <br /> .nenn.►-r iNFNT ONLY• APPOIN-NIRNTS BARE <br /> 1, ED <br /> PUBLIC FILES CORDS REVIEW ARE BY ARE SCIIDUt <br /> ARRANGED BY CALLIt4G (209)468 0340• OFFICE HOURS <br /> 0A.M. TO FOR ;..0() NOON AND I:00 P.M• TO 14:30 <br /> MONDAY THRU FRIDA' EXCLUDING HOLIDAYS, <br /> RFF[JNDABLE DEPOSIT OF $7$.� <br /> P.M. I gS/RECORD , <br /> 2 A PUBLIC RECQRDS RELEASE APPLICATIOETURNED ON DTHE APPLICANT tF THE _ . <br /> IS REQUUtED• DEPOSITS -LCUSfODY Of THE EHD. _ <br /> NOT AVAILABLE Wnit[ I DEPOSIT IS APPLIED TOWARDS THE TOTAL FF "VIEWING THE <br /> 3. THE ABOVE IDIENTMED DUE <br /> AND PAYABLE Ego&TO <br /> CHARGE. THE BALA� F OF THE CHARGES ARE <br /> DOCUMENTS) I CORDS NOT RETURNED�THE SAME CONDITION AS RSCS ADDS NAL <br /> 4. PUBLIC EXPENSE OF THE APPLICANT. THI <br /> CORRECTED BY T� EHD STAFF AT THE <br /> SERVICE WILL BE TO THE APPLICANT FOR PAYMENT. <br /> S. <br /> ORIGINAL PUB C FII-ES CORDS SHALL NOT BE REMOVED FROM' FMCS <br /> DATE 6 30 <br /> SIGNATURE OF APPLI ANT , , 1 , , _ <br /> rr <br /> „j i - ;t ii DATE <br /> SIGNATURE OF RELEASING OFFICI <br /> EH 00 14 (REV 10/9r2) 1 •'r 'r:' <br /> I ' d ZC � iI �6i0Gi01 <br /> WO�� <br />