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• SAN JOAQUIN COUNTY • <br /> PUBLIC IIEALTII SERVICES <br /> ENVIRONMENTAL HEALUI DIVISION <br /> PUBLIC RE,CORRDS RELEASE APPLICATION <br /> APPLICANT 47C,, ly 1110a�( Q PHONE NO <br /> ADDRESS /3 1� v e y,c 4 Cir <br /> AGENCY NAMEZIZCG�/�/c."71 PHONE O <br /> ADDRESS <br /> Re, GCt,, <br /> FILE ADDRESS h EIVCY --ITE <br /> e17 /'r/ayY /rive U> 7' z, ff7a/I <br /> / Z /Lf W. G/rtJl rile 1'`U/,l S�ree7`- G!-od�,-!G/�ufC� Cn/,� •� ,. <br /> �l 39 u/. <br /> v 61, 01-7"f--z- <br /> CrJt�� o <br /> 942 /I/o-6* V <br /> n LOn' <br /> y q O U—/, qA 7!ZTv Lv K y ! ar <br /> Lri r �i soi �w�7 u- c••nf <br /> ZO uL�`nT� C:- C!/n � / _/l_S�/�v r��fi�in 7cC!'' CUi •�ori <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD) POLICY N92 �CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLU WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> JAN 2 8 1994 <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQVMM OAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTW=KmWALHEAkTJtAWfAt TS ARE <br /> ARRANGED BY CALLING (209)468-0340. 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-REFUNDABLE 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 PRIOR TO REVIEWING THE <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 TILE 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 /> 4 SIGNATURE OF APPLICANT ozDATE Z <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />