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>_r'7'd 10101 <br /> • SAN JOAQUIN COUNTY • <br /> PUBLIC HEALTH SERVICES <br /> ENVI 0NfNtENTAv HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Iry�Zrci E< 1 � C a D01 PHONE NO ZEEL-3- <br /> ADDRESS <br /> AGENCY NAME REA/P} PHONE NO <br /> ADDRESS I'7 I L Mcj i Y1 `;t <br /> EILE ADD FSS LEAD AGENCY DATE <br /> a/ Y� F Frornn,tit S <br /> _ l7/cv F. fYli'y7Pr <br /> 050 N, 61sopt, E <br /> ) � 5ie e ECEIV <br /> -:L)3 - OCT 2 6 V <br /> CO NTY <br /> PUBLIC HEALTH SE VI <br /> usiviRuMmullAt EAL <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS. IDENTIFIED IN THE pUBLIC HEALTH <br /> SI•'RVICES/ENVIRONMENTAL HEALTH DIVISION(MID)POLICY n2-00%, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EAD 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 BENZ. ONLY. APPOINTMENTS ARE <br /> o ARRANGED BY CALLING (209 9-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAYTTL?Cl FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 1200 NOON AND I:00 P.M. TO 4:30 <br /> P.M. <br /> i 3• A PUBLIC RECORDS RELEASE APPLICATION AND A NON-RERWpAAI E DEPOSIT O <br /> IS REQUMED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IP THE PILES/RECORDS <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APpL1ED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVLBWING TFIE <br /> DOCUMENT(S). 78//1c 1. a-�'LS tGl- 1'' h,ur. <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL Bfi <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 FILfi MCORDS SHALL NOT BE REMOVED FROM THE EHD PRENUSES. <br /> STGNATURE OF APPLICANT <br /> DATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> FH OO 14 (REV 12/92) DATE <br /> 3'd G95£8£8T 01 UI N4 WHRb!rGI C•FrT-J T-CI <br />