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SAN JOAQUIN COUNTY . <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Ct <br /> �0 PHONE NOS/67 <br /> ADDRESS />'r 1`/4 v / 'P' Co/ C/r <br /> AGENCY NAME Z�7 / s- /.fir ,Zf- PHONE O <br /> ADDRESS <br /> Ft% L W�f fo Rie,,,'cCod <br /> FILE ADDRESS Ef"*eEvcy <br /> e17 �r/av /rive !�> 7� /�4z, ��e7` <br /> W [rJcc1/c c�� 7to%1 S�, ee7' G-i oc✓�lWc���r 6-�'r <br /> ev- <br /> Con17L�/rrc�to <br /> S/ !7 u/ (� nv' !• ^ C!/;✓ � �! ti/�c>L�' dip <br /> i <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(END) POLICY#92 CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLU ���WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. JAN 2 8 1994 <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQYMM OAQUIN COUNTY <br /> PUBLIC HEnALTH SERVICES <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTvBwIQgffALKft0TJtAS 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 EHD STAFF AT THE EXPENSE OF THE 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 /> SIGNATURE OF APPLICANT DATE Z <br /> \� <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />