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SAN JOAQUIN COUNTY � 0- <br /> PUBLIC <br /> PUBLIC EEALTH SERVICES 3 y <br /> ENVIRONMENTAL E EALTH DTVI.SION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT K e✓i ri M r b b+rt PHONB NO <br /> ADDRESS <br /> AGENCY NAME Advances +e. nv)vonm•�t1u PIiONB NO <br /> ADDRESS 1$0j W Marc L>7 fZe J} 5 locK?dg <br /> F.$ ADDRESS men A(yFNCY DATE <br /> Ifi 0 ?4 ;gill clcc it _ f 9 1 i x111 2 s kip <br /> 171 E. 11iiti+r ?►yQ . _ _ J'5 ' .' <br /> 3 3 1 C7 <br /> 5 S 70 <br /> 31� Wt" 7p.r flyt <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY 5192-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMOSE 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 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 /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS 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 PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. -WX..PUBLIC FILESIRECORDS 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 /> 6. ORIGINAL PUBLIC FILESMECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT iI c DATE 6 ' g 4 7 - - <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14(REV 12/92) <br />