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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> f <br /> ENVIRONMENTAL <br /> DiMION <br /> t PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Gnf llr G-��i'i1�-S PHONE NO 6(0 3b g 76'a <br /> ADDRESS �G�`" L �'lla�2� ��rss R" `. o n c-or d C4- (PYS 7-c <br /> AGENCY NAME SC--4CO'S PHONE NO <br /> ADDRESS Sc�, <br /> F <br /> F <br /> r ATE <br /> FILE ADDRESS SAD GE <br /> 7/yGo/ E-gst /-/,<•l1Yr 4-e y- � <br /> �- etc cS e r��� s {•�iF� � . <br /> 13 joat, <br /> &AN J0801 fig t <br /> UtV(SION <br /> THIS NOTICE IS SUBJECT TO THE REQUMEMENTS 'DEN"9IFIED IN THE P LIC; HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION(EHD)POLICY#92.007,ORDINANC COPE OF SAN <br /> JOAQUIN' COUNTY, EHD FEES AND SERVICE CHARGE RESQLUTIONS, STATE ATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM'OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY PD ENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE sMEDU -ED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 42:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. I <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A,N014-REFUNDABLE D OSIT;OF$79.00 <br /> IS REQUIRED- D&POSTTS WILL BE RFruRNED TO THE APPUdANT IF THE CORDS.ARE <br /> NOT AVAIIABLE WITHIN THE CUSTODY OF THE EHD- <br /> Y <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FII. REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO VIEWING THE <br /> DOCUMENT(S). ; <br /> 5. PUBUC FILES/RECORDS NOT RETURNED IN THE SAME OCONDMON AS REC IVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF TELE' APPLICANT- TIMAI]DTITQNAL <br /> SERVICE WILL $E BILLED TO THE APPLICANT FOR PAYMENT.; <br /> U 6. ORIGINAL PUBLIC FILES/RECORDS SHALT,NOT BE REMOVED FROM THE E PRfiNIISES- <br /> SIGNATURE OF APPLICANT /,- / --- DATE y <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FH 00 14 (REV 12192) <br /> ze'd 660C9890TST Ol WOad WdTZ:TO b56T-Z0-d9 . <br />