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ilr <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> i, <br /> PUBLIC RECORDS RELEASE APPLICATION I <br /> APPLICANT EBECC,'1 PHONE" NO S(b 20Y-6963 <br /> ADDRESS 3(n5o , /�a. l 73 (vcl. <br /> li AGENCY NAMEs PHONE NO Sib-Z 3� 2 <br /> j ADDRESS 36Sb `, �6 o v Ste• t� Zoa q e S <br /> FILE ADDRESS !n� (r ^^ LEAD AGENCY [ DATE <br /> 6;1� �,.ks CLmjcz,� 6W3 Mc�TIG At-C.. L oca,V L,6151/c �o 64 w <br /> NdAE 25 E — <br /> c <br /> PAYMENT <br /> REGPJVEr3 <br /> FSB 2 9 1°gT -- <br /> PUBLIC HEALTH-FPVI('FS <br /> tNVlKUNMtN]AL HEALTH DIVISION <br /> I <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICY N92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> aIf 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE I <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 /> 1 P.M. _ <br /> i 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 FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPIICAN � h 0. DATE ` <br /> �- SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />