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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEAL'T'H DIVISION - <br /> PUBLIC RECORDS RELEASE APPLICATIO <br /> T- A <br /> APPLICANT E' rs n rv.,) l _ Ora I PHONE NO S�> �� 2 - Z l I <br /> ADDRESS I u ep M e An S r 60 1wSe.v� st 7 ' <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY D17 <br /> AT• <br /> She (ll �iia��,� /�n��-ire S��c�n �1 ' //- Z <br /> 7- / -r 30ya 4). lienM(;l ffnl{G)-we- S" <br /> LoP . <br /> 317�j (,�,��. (�1iu.�Rri1 lib/� a�.y'Ci �-�c�c-bo►-i <br /> 41to oA 2`105 to . ll)niamm 1 K br-i rcS� l khi k o p <br /> Q L0 l' <br /> LOP <br /> 7-/( Ysaf /f/lU tl/C� �TZIVL .� L'Qco1,&-4o, N IA'o /ft-6,i <br /> i <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH 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. PUBLIC FILES/RECORDS 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 /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLTs 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 OF THE ERD. <br /> 3: 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 /> 4. 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 /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE /(- A Y L <br /> SIGNATURE OF RELEASING OFFICI DATE <br /> n3� EH 00 14 (REV 10/92) <br /> V1 <br />