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Z0"d �C101 <br /> • SAN JOAQUIN COUNTY • <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT C PHONE NO R':�S--S-07 <br /> ADDRESS 1-710 <br /> AGENCY NANM PESNA PHONE NO <br /> ADDRHSS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 'alla T Qlera p po - i ) t hrn t SonToo w n. <br /> i 1!z9 W. \nfebar q - `j.5 <br /> 4 �• <br /> Lin ralh 57 -EF mt-ch r o <br /> $C� �(. Chiinrh ct. -N .l rk Sierra � <br /> �� - r <br /> 139_5 . oKtv� St —( *vrovl 4LI6257 <br /> I \M \nlo.4xr Ave;--s.-T. a ern�oQ <br /> 4-01 's- L iylcj n st -TVl Tr ckitiQ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THF PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(OTD)POLICY A92-W7, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> �l GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> =} I_ A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILFS/RBCORDS REVIEW ARE By APpOINTMENT ONLY. APPOINTMENTS ARE <br /> Qo ARRANGED BY CALLING (709)4b8-.0940• OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 " <br /> T P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT O <br /> ci IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE PILES/RECORDS <br /> NOT AVAILABLE WITHIN THE CUSTODY OF TEE EHD, <br /> J <br /> 1 4• THE ABOVE IDENTIFIED DEPOSTT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING TETE <br /> DOCUMENTS) 7$//L, t m-e-�nj tly, <br /> N <br /> S• PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL,BE <br /> CORRECTED BY THE ERD 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 PREMUSTS. <br /> SIGNATURE OF APPLICANT L DATE <br /> STGNATURE OF RELEASING OFFICIAL DATE <br /> EH OO 14 (REV 12/92) <br /> Zr7'd GoszezeI 01 wnNa Ln+ab:rP 7rrT-IT-Pn <br />