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Please �Cx � � F o <br /> r SAN JOAQUIN COUNTY C/� yy- <br /> PUBLIC EEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC %Ox,DS RELLASF APPLICATION <br /> uzahnQ Hehdv-rsan <br /> APPLICANT jLJo.IjC 2 anM _kLPHONE No <br /> ADDRESS141)t) r) WI I son 511bcK'hok) • G4 RSa05 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> (A-I\ 5j-oClz:to n unless ao i 4Q <br /> FIJ-A ADDR_F5S LEAD AGENCY DATE <br /> � - •C-har'f�r � <br /> 9oks E. r <br /> [113 33U �sTa <br /> rhe I <br /> Ia17 E - n <br /> raa u)a <br /> o I a <br /> 'l� S . OpillOn) ST- rob no 1n JD <br /> 7a I n2 • UrimAj S-71- <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALI4EALTH DIVISION (EHD) POLICY #92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E14D FEES AND SERVICE CHARGE RESOLUTIONS, STATE NATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MA,)dMUM OF TEN (10) PREAUSE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLjNG (209)468-0340. OFFICE 14OURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLDAYS, 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 MLES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS T14E 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 FILFS/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANTL DATE <br /> c7nNATlTAF nF RFI F A SING nFFICIAL DATE _ <br />