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i.v o iv.iu.i <br /> SAN JOAQUIN COUNTY • <br /> PUBLIC HEAL'T'H SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Pjr_ttaeL lICT - PHONE. NO <br /> ADDRESS <br /> AGENCY NAME Mc.Cuc.lr FLICL w) �t� _PHONE NO - <br /> ADDRESS S_ <br /> FILE ADDRESS LEAD AGENCY' )DATE <br /> Z9 MOFFAT <br /> -7 5`) ASI 2L azz <br /> I199 Vm��rR+lt�r C nr �y MrNTtr� <br /> Yav TNILcraLVL �m2uDR/y�vrxZ^- <br /> !(S� V/hJr1e?Zt�Kr �lRC(�t/�ypbrr's7y <br /> 1190 <br /> oeYMEN� <br /> APR 2 R 19-94 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS ID LVV;'�)DE <br /> C HEALTH <br /> SERV[CES/ENVIRONMENTALHEALTH DIVISION(EHD) OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. 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 AIrE 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 /> 1S REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS 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 FRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FHFSMECORDS NOT RE'T'URNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE j 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 / DATE 2 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />