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pp—C/—I Uyb 6=L7Y1'9 rl-[I�HUI_ Ivi. cvo uvU o.exp • //�'' �/l//��/`��� /��� �'// <br /> SAN JOAQUIN COUNTY 9� 3 9 <br /> PUBLIC )HEALTH SERVICES <br /> ENVIRONNIENTAL IiEALT1I DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT0, 41 14 PHONE NO 95ry- e�Z6 y <br /> ADDRESS c ,rri (4 / O 6' <br /> AGENCY NAME PRONE NO — <br /> ADDRESS -- — <br /> FILE ADDRMa LEAD AGENCY DATE <br /> 3.57.;:7 A%vy\5– <br /> 3 S-- <br /> 355%—7,(" <br /> S7,(" -�' <br /> U <br /> Y ' <br /> 11115 N07-ICF. IS SUBJECT TO TI1E REQUIRflMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION (EIID) POLICY#924X)7. ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. EIID FEES AND SERVICE CHARGE RESOLUTIONS, S'T'ATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PIIBIJC MI.ES/RECORDS REVIEW ARE BY APPOI TMEN`f ONLY. APPOINTMENTS ARE <br /> ARRANGED ON' CALLING (209)468-0340. OFFICE HOURS FOR APPOINTNIENTS ARE SCHEDULED <br /> MONDAY 111RU 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 RELL•ASE- APPLICATION AND A NON•REFUNDA 111-14 Dr-1-0.917012 $79.00 <br /> IS REQUIRED. DEPOST'CS WILL Be RE1-Li NED TO THE APPLICANT IF THC PILISIRt-CORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <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 FILESIRECORDS NOTRETURNEDINTHESAME CONDITION AS RECEIVED WILLBE <br /> CORRECTEF) 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 PUBLC pILES/RECORDS SMALL NOT BE REMOVED FROM THE EHD PREMISES, <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> 131 00 14 (REV 12192) <br /> \AV <br /> 0 <br />