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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES a <br /> ENv RONNCENTAL.HEALTH DIVISi 'N <br /> t PUBLIC RECORDS.RELEASE APPLICATION <br /> APPLICANT Gfz i� `��L'�7�—S PHONE NO 7 76'0 1 <br /> ADDRESS / 9C7 LjZ, ! o=-p' � 3s hoc. onL CO.-d C* Y57p <br /> AGENCY NAME SC-4C O R PHONE <br /> ADDRESS Scr <br /> FILE ADDRESS LSI-.D A—GENC—X ATS <br /> C �Cz�o Sewiric�. 5 s�iv� <br /> f <br /> APR I <br /> SAN JOA!1 <br /> 'Y 11L /1�lW DfV60N <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIF[ED IN TIM PUBLIC; HEALTH <br /> SERVICES/LNVIRONMIsNTALHEALTH DIVISION(1~IID}POLICY#92-007,ORDINANC CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE :CHARGE RESOLU'IxONS, STATE 'WATER CODE, <br /> GOVERNMENT CODE;AND THE EVIDENCE CODE. i <br /> 1. A MAXIMUM OF TFN (10)PREMISE ADDRESSES PER REPUTsST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOIniTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS SCHED'PLED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00_A.M. TO 12:00 NOON AND 1: P.I�i TO 4:30 <br /> P.M. s <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEBOSITOF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RM URNED TO THE APPLIG`ANT IF THE CORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. - THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FiL REVIEW FEE <br /> CHARGE. THE BALANCE OF T,[IE CHARGES ARF DUE AND PAYABLE PRIOR TO R IVIEWING THE <br /> DOCUMENT(S). p <br /> 5. PUBLIC FILESWCORDS NOT RETURNED TN THE SAME 6ONDITION AS REC WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE!, APPLICANT. TEaS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT.; <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE MW PREMISES. <br /> SIGNATURE OF APPLICANT. /rl- / =y DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92); <br /> ZO'd 660Q-9890TSTi Qi W0?8d WdTZ:TO b661-1,0-b0 <br />