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U3: 17Pt1 FROM TO 14158.342951 P.02 <br /> /`sr-•��i SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVERONNIENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> FAY C Y,5) 6.?q - z.o 5-/ <br /> APPLICANT PAUL /3 v rz 3 A G E _PHONE NO LLs 8 3 q• z o i4o <br /> ADDROS LAW L _caa./n , <br /> � a 7 13AST'. ,T• ,ANG Sco r Gd 44/[ 1 <br /> AGENCY NAME � PHONE NO <br /> ADDRESS <br /> DILE ADDRESS LEAD AGENCY DATE <br /> /G RAcE KeLLE2 EY ><or/ - pu/3L <br /> 6 ,c <br /> ` <br /> `I2..0 PAC,A,c A ✓E. STUC CTU Nj CA ftC ��14EA✓TN 31_2ul-C-S 7 /G <br /> ___ENUI,zc,N ME„'tAt IJ EA l.7N ,✓ <br /> , <br /> . f <br /> THIS NOTICE IS SUBJECT TO THE REQUIREML-NT'� 0TH i.j PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEAL.TH DIVISION(EHD)f'�i/h'2,Uo'Js CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, SQA 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 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 kION-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 71-IB TOTAL FILE REVIEW FEE <br /> CHARGE. THE BAL.AYCE OF THE CAARGES ARE DUE AND PAYABLE FMN OR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS R13CEIVED 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 _. lOaAj C $ DATE 1/16/17 <br /> �Ji3NATUU QF RELEASING OFFICIAL — DATE <br /> •. <br /> EH 00 14 (REV I Z/YZ) ' <br /> _ TOTAL-P.02- <br />