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_ - SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> .F; EN VIRONAIENTAL HEAL'T'H DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> -n A4 M c DcJA-t--D <br /> APPLICANT Glr---�O&C.4t_TL-GHNILs Z+:i C • PHONE Na Zoe 5 3 8-64Zy <br /> ADDRESS 2601 Rkv E/k R•oAbb nnor->E Tp CA q G3 51 <br /> AGENCY NAME PHONE NO <br /> ADDRESS i <br /> K <br /> EIZ_ADDRESS LfiAll AGENCY DATE <br /> gt S F t_oDr ,ova, Lob= CA S TC Pu 5 E K D 3/z 31 C->)4 <br /> LOUT T;—>r--AW M►X <br /> PA <br /> REGEIVER <br /> MA 2 51 <br /> IAN 10AM t <br /> ENViR'oNNL NTL HkAl k I b'--'ioN <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/EN MONMENTALHEALTH DIVISION(EHD)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 /> 1. A MA.�MUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> ? PUBLIC FILES/RECORDS REVIEW. ARE BY.APPOINTti NT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCI-IFDLLED <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 $78.00 <br /> IS REQUIRED. DEPOSTTs WILL BE RETURNED To THE APPLICANT IFTHE FILES,RECORDS ARE L <br /> NOT AVAILABLE WITHIN THE CUsToDY OF THE EH,D. _ <br /> 4• THE ABOVE FI]I:NTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIER% FEE y.. <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE DOCUMFNI'(S). PSR TO REVIEWING THE Y <br /> �• PUBLIC FILES <br /> IRECORDS NOT RETURNED IN <br /> THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE <br /> EHD STAFF A-r THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVIC$ WILL, BE 13ILL.ED TO THE APPLICANT FOR PAYMENT. - <br /> 6• ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PRE&UsES. ti s <br /> ry SIGNATURE OF APPLICANT VV1A - <br /> DATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> - ; , -EH oo 14 (REV 12/92) DATE <br /> ikkZ 00 �� <br />