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SAN JOAQUIN COUNTY <br /> �lBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PNBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT L . I I PHONE NO o/ <br /> ADDRESS <br /> AGENCY NAME ^= Der-/Z PHONE NO .C. 866dr-- <br /> ADDRESS =ADDRESS s J <br /> FILE ADDRESS LEAD AGENCY DA <br /> Sa98 f(A Vis S3- NL) <br /> Soo z�_. Z4Aro�0 eD PHS <br /> Z-ove-1-4cc- ,sL..)zs <br /> SS -/,�f7 <br /> Y 411SSC.iJII� <br /> S J'L�/-f <br /> THIS NOTICE IS CT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRO AL HEALTH DIVISION(EHD)POLICY#92.007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE THE EVIDENCE CODE. <br /> 1. PUBLIC FILES/RECORDS REVIEW ARE BY APPQINIMENT ONLY. APPOINTMENTSrARE <br /> ARRANGED BY CALI��TG (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDUL <br /> MONDAY THRU FRID y EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 14:30 <br /> P.M. ._. <br /> 2. A PUBLIC RECR.DS RELEASE APPLICATION AND A NON-REEODABIL DEPOSIT OF 578.00 <br /> IS REQUUtRD. DEPOs�rS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORD <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE ERD. � � ' <br /> 3. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIE*, <br /> CHARGE. THE=ORDS <br /> OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE =-- <br /> DOCUMENT(S). <br /> 4. PUBLIC NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BI1.1.FID TO THE APPLICANT FOR PAYMENT. <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE ERD FR�KSES. <br /> SIGNATURE OF APPLICANT DATE 6130 <br /> . 7 if� rr <br /> SIGNATURE OF RETE SING OEFICI DATE <br /> EH 00 14 (RFV 10/42) <br /> � - <br /> i <br /> c d 2C : 11 _76i0Ci01 wod� <br />