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SAN JOAQUIN COUNTY <br /> PV13LIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT SIS AAA PHONE NO `116 649 3570 <br /> ADDRESS I o -NlWk' Vvtof <br /> AGENCY NAMEL PHONE NO <br /> ADDRESS o�tywesr Ewvlla�� <br /> Ffi.R �DDR1?CS J.gelJ AGSNCX D <br /> .0i No0i, stagy (a-m EH IZ�z3/9z <br /> 34S Novft� Yo�e�ifz• EH I����4` <br /> `21 Wept Ffv4V V Stec EH Ix�x3�4x� <br /> —PAYNfENT <br /> E 1_YE D <br /> P!iBUC. HEALTH SERVICES <br /> cmvmnuurureiyt�rH UIVIS;0N <br /> THIS NOTICE IICORDS <br /> Cr TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES113NVOAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNFEES AND SERVICE CHARGE RESOLUTIONS, STATE NATER CODE, <br /> GOVERNMENT CD THE EVIDENCE CODE. <br /> 1. A MAXITEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC REVIEW ARE BY ADpOINTMHNT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CAL ING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIIiAY EXCLLIDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RE ORDS RELEASE APPLICATION AND A NON-aEM&D =DEPOSIT OF$78.00 <br /> IS REQUIRED. DE ITS WILL BB RETURNED TO TIM APPLICANT IF THE FILBS/RBCORDS ARE <br /> NOT AVAILABLE WI MIN THE CUSTODY OF THE MID. <br /> 4. THE ABOVE DENIIFIED DEPOSIT IS APPLIBD TOWARDS THE TOTAL FILE REVIEW FEB <br /> CHARGE. THE BA CE OF THE CHARGES ARE DUE AND PAYABLE P8[4R TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FI /RECORDS NOT RMURN13D IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED By THS EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILI RD TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL Pt BLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE BUD FREMISES. <br /> SIGNATURE OF APPIILICANT Sf ✓M Ab r, DATB 1-2/13/1?2- <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> q0 EH 00 14 (REV 1219 _ . _ <br />