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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVHtONMENTAL HEALTH DrMION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPIJCAN'I i f 1 l r' ( _ PHONE No(909)SS I -Js-71 <br /> ADDRESS -qi2 't)(&LICL, ! 3�F <br /> AGENCY NAME r 1 £ PHONE NO <br /> ADDRESS Ufa YYI� <br /> FILE ADDRESS LEAD AGENCY Dg� <br /> oD� S . LirlLOlLj i�d_)at, l / s <br /> co / N. Mn - Q-,l kf r- 1 /c m hi n Q <br /> i.3ti9 N, ol1 ll✓1 S <br /> YYl0;ti <br /> S <br /> rYlaln st, rri, r_� rrok- <br /> ,� <br /> � 1 5 , 1 la, r1 �s f_ ( h0 "l'y;'-)" d LI-A-m bo'- <br /> D 5, Y)1 fl r1 5't. <br /> THIS NOTICE IS SUBJECT To THE REQUIREMENTS IDENTIFIIED IN THE PUBLIC HEALTH <br /> SEUkVICBS/EN VIRONMENTAL 14EA LTH DIVISION(EHD)POLICY#92-007.ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, ESLD 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. APPOIIVTMENTS 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•Riylnr AIIT_iiDEPOSMOF S78.00-V <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FIIESIRECORDS ARE <br /> NOT AVAILABLE WInUN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FMS REVIEW FEB <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING TLB <br /> DOCUMENT(S). .. <br /> S. 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 ERD PREMISES, <br /> SIGNATURE OF APPLICANT LLE DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EN 00 14 (REV 12/92) <br /> cn'd 965ETSST n1 W08A WHSZ:TT Z66T-92-E10 <br />