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r SAN ,iOAQUIN COUNTY <br /> PUBLIC IIEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTy l u i Ir -)W 5 f k I kow;I< PHONE NO �{rJ H— $CJ O <br /> ADDRESS_ GJO W. t�wtt <br /> AGENCY NAME_ _ Hcxo e u , EI(i s , e Sr' u EII PHONE NO <br /> ADDRESS 2KOu I,d. <br /> .1� �i-pc-�F� C � 4S!zIq <br /> FILE ADDRESS nnLEAD AGENCY DATE <br /> D66 4A4' L <br /> I`eal i <br /> 1 r n d'i�OLQL l-"Ie <br /> IDA c , (I 5m <br /> _j $6 N . U--Leotcu (,,,.F ,,AA Cc g5SYo y f} <br /> (; Q N. C4.401c-u odk.' cA 45 9 q 0 AYMENT <br /> L44 1( 5. cw. ( 1cet ( anC ria; cA 5a + RECEIVFn <br /> AL 9 9 f991 <br /> NJ .. ,,iir, ni l'" <br /> Pf0 c r rte_. :.... SES <br /> ENVIRON1;1EtJ L;;L;:.i; uviS:0N <br /> TIIIS NOTICE IS SUBJECT TO TIIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY'IHRU 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 /> \ SIGNATURE OF APPLICANT 14CL, DATE 3o 9 3 <br /> SIGNATURE OF RELEASING OFFICIAL _ DATE <br /> EH 00 14 (REV 12/92) <br />