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SAN JOAQUIN COUNTY �•� <br /> PUBLIC HEALTII SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ter- 0 /e O' PHONE E <br /> ADDRESS /� �7 14 v e- <br /> AGENCY NAME_/ G-y %eir /�lU�-7L PHONE NO <br /> ADDRESS <br /> FILE ADDRESS <br /> Mull 41(1- evlrl^ c�i776-a aZ'�, <br /> v � <br /> ,� s�� (/✓• G Cr%��^ <j G tt�1•.r/ICS Ti�Ol7 <br /> % • n Gott �,<i�G 'G y7 <br /> �-- <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICYOt92 CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLU �WATER CODE, <br /> GOVERNMENT CODS'AND THE EVIDENCE CODE. tttt <br /> JAN 2 8 1994 <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQVMM OAQUIN COUNTY <br /> PUBLIC HEALTH 5ERVIGES <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTWW=KMMALKA07DtlPfYJA&TS 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$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 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. 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 /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> 7� <br /> SIGNATURE OF APPLICANT DATE 9 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />