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SAN JOAQUIN COUNTY <br /> WLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION• <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Z . T PHONE N0 616).Y64 -/7 0l <br /> ADDRESS '�? l-j,_ C i rds- t IS) S <br /> AGENCY NAME _T - r 2 PHONE NO <br /> ADDRESS of c-" _S J <br /> FILE ADDRESS LEAD AGENCY D� <br /> Sa� 8 rLA"i c Ste//D <br /> o za QNS <br /> 1Q✓e-/4ce, QD 'sLZ-1c <br /> 12-o <br /> 340L S. <br /> s`r _qy 1, <br /> ygoi 7bu-6 22 <br /> - <br /> rn <br /> THIS NOTICE IS SURIECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRO TAL HEALTH DMSION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. ' <br /> c � <br /> 1. PUBLIC FILES CORDS REVIEW ARE BY APPOINTMENT ONLY_. APPOIN'TN ENTSrARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPODnMENTS ARE SCHEDUtFD <br /> MONDAY THRU FRED) lY 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 REC RDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPO S WILL BE RETURNED TO THE APPLICANT IF THE FMES/RECORD4"w <br /> NOT AVAILABLE Wrn4IN THE CUSTODY OF THE END. <br /> 3. THE ABOVE IDEN711FIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIE EE _ <br /> CHARGE. THE B CE OF THE CHARGES ARE DUE AND PAYABLE PRIOg TO REVIEWING THE == <br /> DOCUMENT($). I <br /> 4. PUBLIC FII.ESWCORDS 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 BQ.�.ED TO no APPLICANT FOR PAYMENT. <br /> S, ORIGINAL PUBLIC FUMIRECORDS SHALL NOT BE REMOVED FROM THE ESLD P44SES. <br /> SIGNATURE OF APPLICANT ( DATE 30 <br /> YSIGNATURE OF RELEASING OFFICI DATE <br /> EH 00 14 (REV 10/92) <br /> N� - <br /> I d �� : I1 2610Ei0I wo�j <br />