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Pease. Ll�x ,SIF��o <br /> r r (a e SAN JOAQUIN COUNTY SCI y� <br /> r`�e PUBLIC HEALTH SERVICESvK 1��-�-�` <br /> ENVIRONMEN'T'AL I EALTH DIVISION <br /> PUBLIC CO S RELEASFy APPLICATION <br /> uzo-v% r\Q Hehje-rso n <br /> APPLICANT Q nm Px - I F NO M7-I00 <br /> ADDRESS S � C�4 a <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> CL 1\ 5-M C1L'I-o n U+files 5 nfl'i� <br /> �R ADDRESS L 3 AQfiNCY DATE <br /> 1205 - -C. a <br /> I gal _*md <br /> 333 3 0 o _I �� <br /> —Tot i a <br /> '7a 5 to. . rbb rno I r1 O <br /> '7a 1 IV • o ry Id rU ST <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 6'92-007, OR.DiNANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIiD FEES AND SERVICE CHARGE RESOLUTIONS, STATE NATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MA)GI•fUM OF TEN (10) PREbl]SE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINT7JENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINT-,TENTS 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 /> S. 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 BILLEDTO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT Zt/1Y/Jc.� DATE �� 9 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br />