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11-08-1995 d: 18PM F# AGE NC 209 9SG 0700 P. 1 <br /> SAN JOAQUIN COUNTY I , p, ILp ,n )',P�5"�.7 3 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT CVq I j0 r PHONE NO Q S Io O Z y <br /> ADDRESS £. <br /> AGENCY NAME A0%jAovct0 G e o Y HONE <br /> ADDRESS <br /> FILE ADDRESS LEAD <br /> - r 1_ LEAD ^AGzENC�Y• DATE <br /> LOwI �! ( � U Oq W .s{U }tiwv .�2 Y145 - L/tp <br /> 1~401 }J'Jszyso E. <br /> Loaf —3 —110 A) 5Q(,A6m9ALo S+rcE+ t PAaE Ete— <br /> L(A01 35 l"j . CHCArKGE LAAd <br /> < a0 ) b15' L. Last Ayc <br /> tort zv1 c . 04< s-1-• OV - 7 M5 — <br /> Lb01 '3E10 5, 6£ K.w/1.v An fl/D SAN JUAOUIN rn�y <br /> ENVIan��.,,. HEALTH SEFV <br /> cNTALALS iH DIVISON . <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE.AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTTIENTS 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 APPUCA77ON 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 /> S. PUBLIC FILES/RECORDS 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 BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILEWRECORDS SHALL NOT BE RLMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE I d I LOS <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />