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SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES SEF () (9 •993 <br />ENVIRONMENTAL HEALTIi DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION ENVIRONMENTAL HEALTH <br />f. <br />PERMIT/ SERVICES <br />APPLICANT PHONE NO (9��) 4q - 3 s n <br />ADDRESSi 8c�� v TSS./o/c h <br />AGENCY NAME 1VjQ ; .�"—c. PHONE NO <br />ADDRESS <br />FILE ADDRESS <br />61,14 �c� Z' 4) . <br />WA <br />4? <br />LEAD AGENCY <br />DATE <br />y A3 <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (END) POLICY #92-007, ORDINANCE CODE OF SAN <br />10AQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FiLF,S/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 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 END. <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 FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT 1�, V . �,,,, }c.L)1,, n -/I DATE -f ( S� <br />SI(;NATURE OF RELEASING'O FICIAL U DATE <br />��� EH 00 14 (REV 12/92) J <br />