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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES ' <br /> ENVMONWMAL HEALTH DIYISIdN - <br /> P LIC RECORDS RELEASE APPLICATION <br /> 1 AN 3� 11 �- � ra _ �ONa No <br /> (L <br /> APPLICANT I t <br />' ADDRESS � �•" F t"I E- C1IZ `�(ac rL Ar!'l2- �,� (�����.. <br /> AGENCY NAMEt <br /> ADDRESS <br /> Va z M W �4 a rw.. q�.._ <br /> A <br /> Fay-— � <br /> DDEMS LFA33 AGENCY D <br /> R-K _. ri'1 r�1F('41 <br /> : y <br /> L11C1� . WA�t (z L(�.V1C_C� Lo0a C. <br /> 2— Gx� L <br /> reUF(2I 1 F +.• O <br /> L' AMS p,1C6 )DG,9 Nlgtl� <br /> t s� n ti s . - S Lr ►�ns p - — <br /> 5'r��c..iuo x•-i•- �i» S11C�G�_ � 1�%2,S F , <br /> - -T� �E� s E e v c ,- o•'� � IDA�rJ <br /> ! TZ b5JN Y4u( �?i€. 1 <br /> 1 IY) <br /> IC t Z1LF <br /> W Ls tiJ ►�p`-f I -T I YLE- <br /> '};.7(�"T j'T cC K'rvlhl "FOOAS t' q50 E 1�') � NCC 2- r_ _. <br /> C-i l'14 <br /> ov SToc K_--f o 1 <br /> O rye i JI G lZ� _ �c 1 N• U N 1'D r J <br />� lA �TZ <br /> v <br /> THIS NOTICE IS SUE4CT TO THEREQUMEMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SFRVICES11=NVIRONMF.NTAL HEALTH DIVISION(EHD)POLICY#92.007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, IID FEES AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> PUBLIC FILES CORDS REVIEW ARE SY AnguaMEEriT oNLY. APPOH4TMENTS ARE <br /> ARRANGED BY C G (209)468-340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> ' MONDAY TH1tU FRED IXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. - D DEPOSITOF$78.00 <br /> 2. A PUBLIC REC RDS RELEASE APPI..ICATION AND A <br /> IS REQUZItED. DEPO WILL BE RETURNED TO THE APPLICANT IF THE FILE5/RECORDS ARE <br /> NOT IAVAIZ.ABLE WM IN THE CUSTODY OF THE FID. TOTAL _ <br /> FLEVIEW FEE <br /> 3, THE ABOVE IDEN"IIFIED DEPOSIT IS APPIJED TANDARDSPAY�THE <br /> P1�IoR TO REVIEWINO THE <br /> CHARGE. THE BALANCE OF THE CHAR . ARE <br /> DUE DOCUMENT(S). <br /> 4. mi PUBLIC FILESA LECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WMI BE <br /> CORRECTED BY THE T;HD STAFF AT THE EXPENSE OF THE APPLICANT- THIS ADDITIONAL <br /> SERVICE WILL BE 9911D TO THE APPLICANT FOR PAYMENT- <br /> 5. ORIGINAL B C FIL. MECORDS SHALL NOT BE REMOVED FROM THE E i77 FR EES. <br /> PU <br /> SIONATURE OF APPLI ANT <br /> DATE <br /> SIGNATURE OF RELE SING OFFICIAL DATE <br /> I <br /> EH QO 14 (REV 10192) <br /> 1 'd LE : T I 26/06/01 W08j <br />