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u <br /> • SAN TOAQUIN COUNW <br /> PUBLIC HEALTH SERVICES , <br /> ENVIRONIk N-TAL HEAL-M DIVISI6N <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> i <br /> APP1_tCAN;C_.fie-LbIatYS4^ PHONE NO <br /> ADDRESS <br /> AGENCY NAME1vaHc� (y•o Eh✓ivovt/n•K�af PHONE NO 9S `'q�bd <br /> ADDRESS L$O vV. t?arc Ln.• SLS' S oc to <br /> FTLA AT7I�RPSS <br /> LFAs AGENCY DATE <br /> pHs-ft+ Vs- <br /> I <br /> -J <br /> J4� �.✓dr 17Y S./��/.erK Dn�c1� IC <br /> p � ICA/ <br /> ai.•. 99 � -- <br /> �s b 9 -- <br /> zOOy tLLaiipwt+ R � � _ <br /> r to <br /> THIS NOTICE IS SUBJECT TO THE RFQUIRE\$EN7S IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICE$/ENVIRONMFNTAL'riEALTH DIVISION(E14D)POLICY :92-007.ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EI4D FEES AND SER�7CE CHARGE RESOLUTIONS. STATE NATER CODE, <br /> GOVERNh4ENT CODE AND TYr EVIDENCE CODE. <br /> I. A MA.:OMUDL OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECO.FDS REVIEIV ARE BY APPOINTMENTOIN'LY. APPOINT'.v1ENTS ARE <br /> ARRA\GED BY CALLING (:OP 463-0340. . OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY ECCLUDING HOLIDAYS, 8:00 A.S7_ TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASP_A.PPLCAT]ON AhD .A NON•REFL' i-D— BLE DEPOSIT OF Si8.00 <br /> IS REQUIRED. DEPOSITS WU r BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILILJLE WITHIN Tii= CUSTODY OF THE FHD. <br /> 4, TIRE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE ROOTAL R LOIRE LE REVIEW FEE <br /> THE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE RIO <br /> DOCUMENT(S), <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL..BE <br /> CORRECTED BY THE END STAFF AT THE EXPENSE OF THE APPLICANT. 11-IIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLI'CANTFOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PRL MISFS. <br /> SIGNATURE OF APPLICANT e ey�(�p#j DATE f!99 <br /> SIGNATURE OF RM-EASING OFFICI l �vJ DTE <br /> EL / <br /> EH 00 14 (REV 12/9-4) <br />