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Awo <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> F14VIRONM ENTAL !HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Al3illS PHONE NO <br /> o w case ek <br /> AGENCY NAME ew V i t LoNM�t Sl-1Gwlbdrib's PHONE. NO <br /> ADDRESS <br /> ELLE ADDIM LEAD AG13NCY T <br /> 9Sd West /PA Sf TraE� c sA-�► <br /> ems►V. NVftrtf Of V1510AJ <br /> U 11 <br /> w 1, <br /> 193 <br /> THIS NOIICB IS SUBJECT TO THE REQUIttEMHNT3 IDENTIFIED IN 7HFEf T$i; oux"Lu Tki <br /> SERVICESTNVOtONME TALHEALTH DIVISION(EHD)POUCY X192 W7,ORDINANGS,CODIIMIOX <br /> JOAQUIN COUNTY, Mb PEES AND.BERVIC6 CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF'T'EN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESMECORDS REVIEW ARE BY APMND4= ONLY. APPOINTMENTS ARE <br /> ARRANGED NY 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-RE17UNDAR1,9 DEPOT OF S98.0o <br /> IS REQUIRED. DEPOSITS WILL BE RM-URNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE W11H N THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEB <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRI TO REVIEWING TIM <br /> DOCUMENT(S). <br /> i <br /> S. PUBLIC F LES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EAD STAFF AT THE EXPP MSE OF THE APPLICANT. THIS ADDITIONAL <br /> SFItVICB WILL BE BIL ED TO THE APPLICANT FOR PAYMENT. , <br /> `b 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM TKfi EHD PREMISES_ <br /> SIGNA'T'URE OF APPLICANT u.�t. DATE O �' <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14(REV 12/92) <br />