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SAN JOAQUIN COUNTY ... <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT i c,u41 (}]z r r1 s -00 V e, •� PHONE NC�7�cr) RSt�`I <br /> ADDRESS <br /> AGENCY NAME (;euleC %Gul �j(•d � �eeut(e� PHONE NO(zek)9St o3yy <br /> ADDRESS 1103 W Mo' ,a- Looe 5cOle A C,+t `5-?-0*7 <br /> FIT B ADDRESS LEAD AGENCY DA <br /> 5tua.Fs Nb xru( -1043 ( Itrif"IlLiirYti'ti6,4*e ST eIIS)E%i9 <br /> O1Cci for r11 ISO (It441 tkutl hrutl%L <br /> Ic Y3 S tirAVILIel.1I � <br /> a'+n • to onetfuttiph_ IoSoo 11 an Fm an <br /> 2535 W15µ. C' . Druz Stvcklwi <br /> S%eri0. SCOA213 3JD(khsr APRT <br /> d frees 3139 llincr nvi ve . Sloe PUBLIC <br /> H <br /> J t'cy ri — J 6 TerfP��TSi�S�L ] PUBLIC He <br /> f1�n.,. sl � •, .:�url <br /> Abrin Miesirr- 37 3f "Teem L),-.. StoCE <br /> Pyrcon z7 - 3soo ul rloc Zj 11v(iL1�� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 7792-007, 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 FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS 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 TIIE 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 -,�ajj' 7 mCYy--0d(,W u-" DATE ft <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />