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• SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ,j6Li2 -J c' Z( PHONE NOLW42G31 -Uy55 <br /> ADDRESS 302 3 S Su n r 5 c 131y Sy t �� CSS Wbya C4 2S 7qZ <br /> AGENCY NAME -n�r vrn/- m ciz PHONE NO crbon c <br /> ADDRESS Q s <br /> c�( ( 51 t-t-- s r c I '/q 4c7->LA,-,n lar C H <br /> FILE ADDRESS ^ LEAD AGENCY DATE <br /> I) ,wpb EcZS �' �DU15f�Uc <br /> Hcw)c k Qd <br /> 5) 3G5 Ect 5 Z-rxl I sc Au-c . <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> L 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 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 D <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FIL C(T�STARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. E�VED <br /> .1111 1 gZ] 1 9 <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTA��I > �S <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOk><J�IUR R <br /> DOCUMENT(S). <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORREC'T'ED 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 bL DATE -� 3 <br /> Q SIGNATURE OF RELEASING OFFICIAL DATE <br /> \ EH 00 14 (REV 12/92) <br /> `O <br />