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`~y SAN JOAQUIN COUNTY <br /> PUB1,1 = 11EA1.311 SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ✓c <br /> �� �M,'/ PHONE NO. SYS - Fred <br /> ADDRESS 'o S 9�Lv/�3vzo <br /> AGENCY NAME PHONE NO <br /> ADDRESS- <br /> FILE <br /> DDRESS-FI E ADDRESS- -;. LEAD AGENCY: w DATE. ..:._. <br /> 13 S N• f= YTTJJ� YrLkrK•l G(�pt -.1 , <br /> y5 15 LD / L.aF +M� RC K <br /> ` <br /> ' 11e.gnosevell t l/4,% % 6'0. <br /> TFFIS NO'nCE IS SUBJGCI' TO Tim REQU1RgMUNT3 IDEN-nmED IN T1FE PUBLIC HEALTTI <br /> SERVICsS/ENVIRONMF_NTALHEAI TF1 DIVISION (FHD)POLICY 992-007, ORDINANCE CODE OF SAN <br /> JOXQUIN COUNTY, EFID TFES AND SERVICE CHARGE RESOLUTIONS, STATE,WATER CODE, <br /> GOVERNMENT' COIF_ ANT)THE EVIDENCE CODE. <br /> - *L4 .. <br /> I_ A.MAXIMUM AF TEN (10) PREMISE ADDRESSES PER REQUEST. '*' '• <br /> 2. T PUBLIC FILLS/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED 13Y 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 RIECORDS RELEASE A�PPUCATION AND A t.Q-WREFUNDAB3 E DEPOSIT OF$78:00 <br /> IS REQUIRED. 1)FPOSTTS WILL, BF, RE=TURNED TO'TTIE APPLICANT IF TTIE FILES/RECORDS ARE <br /> NOT AVAILABLE WTTIIIN 111E CUS "ODY OF THE EIID. <br /> 4. ��� ', 'THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> f ILAR{:E. -TI1E BALANCE OF TIIE CFIARGEES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT' <br /> n 5.''»� ?_ PUBLIC FIIr_S/RECORDS NOT RE URNEED IN THF' SAME CONDITION AS RECEIVED WILL HE <br /> CORRECTED BY TIDE MID STAFF AT THE EXPENSE,OF 'T IE APPLICANT.,, THIS ADDITIONAL <br /> ��. SERVICE WILL BE BILLED TO THS APPLICANT FOR PAYMENT. <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT HEREMOVED FROM THE EHD PREMISES. <br /> + SIGNATURE OF APPLICANT ' <br /> +f,t- DATE <br /> SI OF RELEASING OFFIt:IAj.__ DA'1'T; <br /> 1.11100 14 (RTEV 12192) s. ter- <br />