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G—eG-199% 5: 11PNI FF<UM Alit rvU <br /> SAN JOAQUIN COUNTYPUBLIC EXALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION z� 7 7—�✓� Q <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Kevin Mc-Ci kb+h PHONE NO <br /> ADDRESS <br /> AGENCYNAMEAWyoac. � #a. En✓)ycn4'1•H7ea PHONENO °i5-6'0,Z61 <br /> ADDRESS 1103 w. Mcrcki Ln., fLc 5 ocKjoj: , <br /> FILE ADDRUS LEAD AGENCY DATE <br /> m rhipr 11ye <br /> 3310_ LA 1 r <br /> _1411 -- No �i 1 <br /> 5570 N ) r 1 <br /> 37.y Wlrndpa.Y AY4 _- - ` <br /> —:3 5.3 I; . 114)-l-ie Sb. <br /> 11D .1/. Fi �be�' C sb _ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION(EMD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSFS PER REQUEST. <br /> 2- PUBLIC FILES/RE-CORDS 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 THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OR TILE 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 /> S. " � PUBLIC FJLES/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 TRE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT 4tU XVWWA,. DATE 16 g�4 7(� - - <br /> SIGNATURE OF RELEASING OFFICIAL (C DATE u <br /> EH 00 14 (REV 12192) <br /> I <br />