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z0•d 1d101 <br /> SAN JOAQUIN COUNTY,,.,,, <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 2aur o. VYleCabe. PHONE NO - �o <br /> ADDRESS I I0 Epp <br /> AGENCYPHONE NO <br /> AbDRESS <br /> II,B ADDRS� SAD AGfiNCY DATB <br /> -Liyl EF ft)j-tthkv- do"— <br /> S <br /> r� <br /> $(y) of. Ch�iach �}t. -Ne,„ljark Sce rr <br /> n <br /> Eff- <br /> c- <br /> 7-- <br /> %I. <br /> -ao yr Ave:-S.-3-. ,,ornA C7 L I <br /> n <br /> THIS NOTICE IS SUBmcr TO THE REQUMEMENTS MENTMED IN ?HH PUBLIC HEALTH <br /> SERVICESMIMPONMENTAL HEALTH DIVISION(ETD)POLICY#92-007,ORDINANCE CODE OP SAN <br /> .tOAQVtN COUNTY, ERD FEFS AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> L A MAXIMUM opMN (10)PREMISE ADDRESSES PER REQUEST: <br /> �dd 2. PUBLIC FILES/RECORDS REVIEW ARE By AppplN•IMENI. ONLY. APPOINTMENTS ARE <br /> �b ARRANGED BY CALLING (209)468-0340• OFFICE HOURS FOR APPOINTIKFNTS 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 /> ,n <br /> 3• A PUBLIC RECORDS RELEASE APPLICATION ANDA ON-RfiF[JNbAEIX DgppslT p <br /> IS REQUIRED. DEPOSITS WILL 1119 RETURNED TO THE APPLICANT If TM FILES/RECORDS-ARE <br /> 3 NOT AVAILABLE WITHIN THE CUSTODY OF THIS EHD. <br /> t 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE_ THE BALANCE OF THE CHARG�,ARE DUE AND PAYABLE nU TO REVIEWING�E ; <br /> DOCUMENT(S)"t'78/lug 2. a� tty.e� /sf hour. <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED By THE ERD STAPF AT THE EXPENSE OF THE AppUCANT. THIS ADDTITONAL <br /> SERVICE WILL BE BILLED TO THE ApplICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FIZZ MECORDS SHALL NOT PE REMOVED FROM THE MD pRfiM]SESI <br /> SIGNATURE OF APPLICANTDATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 14 (REV 12/92) DATE <br /> FO'd 01 wnm-a wHRb!RA s'rAT-).t-RM <br />