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• -1 <br /> uSAN JOAQUIN COUNTY ir <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DTVLSION Y a <br /> PUBLIC RECORDS RELEASE APPLICATION j <br /> C �her <br /> APPLICANTL-jor6ij PHONE NO 1 (,) 'Z _ Z ► I t3 <br /> ADDRESS 1 9 t7b M Q 1,2S' r 60 se, s6 7 ' k <br /> AGENCY NAME PHONE'�NO <br /> ADDRESS Ii i <br /> ! ,I <br /> f � <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 1-7 <br /> SS tie U -90l L f <br /> 7-11 <br /> Zoe it iG <br /> �I z� �f �r _l�il# D-Y:1�;t�._:��uc�C-bc�►i I� �f � <br />:Q►eure� 2qO5 W . M i S h �vP I <br /> I� �E <br /> T.,-Acc. Vere- } <br /> 4a., (Ord lctk s-N. L'rc r r-A ' <br /> 4LoP <br /> (-t( co/. �kOr,,Y //ti0p ["L7di � <br /> IJ <br /> 1 } + <br />- 1 <br /> p <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007,aRDINANCB CODE OF SAN ' <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> f 1. PUBLIC FILES/RECORDS REVIEW ARE BYT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR AOMINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M.TO 12:00 NOON AND 1:00 P.M. TO 4:30 F <br /> P.M. <br /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NgN:j I~UNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT EF!!,THE FILESIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 3: THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE NOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). iE } <br /> 4. PUBLIC FIL.ESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE ' <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL. f <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. I { <br /> E S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FIROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> F SIGNATURE OF RELEASING OFFLCIC DATE i <br /> EH 00 14 (REV 10/92) ' <br /> i <br />