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Please �Cx (IL <br /> �e <br /> r r Q�aQ �-CJ� SAN JOAQUIN COUNTY yy <br /> PUBLIC EEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASI APPLICATION <br /> uza.v% At Hehde.rson <br /> APPLICANT{ Q ..sm�tronqlfnbqLFqoNE No <br /> ADDRESS t4l) Son aN S1bcSCA Q5aO15 <br /> AGENCY NATE PHONE NO <br /> ADDRESS <br /> (A-I\ 51roCct-0n unless no i o <br /> FILE ADDRESS LEAD AGENCY DATE <br /> - •ckf <br /> r -] <br /> 8015 E. tKacD <br /> 3333 •U305r" <br /> ( a o _ rhe I <br /> ��17 E : - P, <br /> roa Luo <br /> 0 lC <br /> �1� 5 Ilj h,A \ ST. rolh no Ir\£O <br /> '7� 1 1'17 • U N to n.) S7-. — <br /> MS <br /> TTHIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION (EHD) POLICY k'92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE NATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PRETUSE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESIRECORDS 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 PUB11C RECORDS RELEASE APPLICA-110N AND A NON-REFUNDABLE DEPOSIT OF $78-00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FIl ESIRECORDS 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 -TIE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED 1N 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 APPIICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br />