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--- <br /> _ i J-C CCI -fc�cE �u <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HF_ALTII SERVICES (( <br /> ENVIRONNIENTAL HEALTH DIVISION <br /> PUBLIC RECp RDS RELEASE APPLICATION <br /> Suzanne PHON)NO L110fl-10010 <br /> APPLICANT <br /> ADDRFSS ylX�`5 MAY ISalo ii uu sucoo.'' <br /> AGENCY NAME PHONB NO <br /> ADDRESS <br /> FUZ D P S J.nan AT;FNC:Y PATE <br /> tD `} -5 ibc p n V10 <br /> 00 rIn mai- <br /> at <br /> Pi`l ty <br /> n <br /> I � � <br /> LOaI LhIaLL cf- Ume ?' <br /> THIS NOTICE IS SUBJECT TO THF REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EMD)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 /> 1, A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESIRECORDS REVIEW ARE BY APPOINTMENT ONLY- APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)4458-0340. 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 RMURNED TO THE APPLICANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EMD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE RFVIEN FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIO TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILESIRECORDS 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 MILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE o7 J <br /> SIGNATURE OF RELEASING OFFICI UV h VL / DATE I G <br /> EH 00 14 (REV 12192) <br />