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/ pd -TdIO1 - <br /> r'" SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES �- <br /> j ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> j APPLICANT Lr)[) r i _ =� FHONB NO E 3LF)7 <br /> ADDRESS <br /> AGENCY NAMER� F130NE NO 1 <br /> ADDRESS 1110 YYl0.1yn 5t.. EScal o)n <br /> i <br /> I'�I B ADDRESS <br /> LEAD AGAICY PATE <br /> r <br /> �na� rrem6of Sf. HSE/fD iv-14-93 <br /> a/ gti E Frn,vta, <br /> sf. <br /> 2W E. F <br /> //r) A(. Pdber <br /> ,1171Co r. rf7 i't-i Pr <br /> 1950 vti V <br /> MeVa <br /> cu <br /> CO NTY <br /> (^, PUBLIC HEALTH S I <br /> LNVIKUNMLIqlAt <br /> EAL <br />�. THIS NOTICE IS SUBJECT TO THE REQUIREMENTS MENTMED IN THE PUBLIC HEALTH <br /> SERVICBSIENVIRONMENTALHEALTH DIVISION(E RD)POLICY 092.007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I_ A MAXIMUM OFTEN (10)PREMISE ADDRESSES PER REQUEST. ' <br /> 2. PUBLIC FILESIRECORDS REVIEW ARE BY APPOINT BENT OA1LY. APPOINTMENTS ARE <br /> 'o ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU PRLDAY EXCLUDING HOLIDAYS, 8.•00 A.M.TO 12.00 NOON AND 1. P.M.TD 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT O <br /> IS REQUIRED. DEPOSITS WILL 1313 RETURNED TO TRE APPLICANT IF THE FILESMECORDS <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDEN7771 D DEPOSIT IS APPLIED TOWARDS THE TOTAL PILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIG TO REVIEWING THE . <br /> DOCUMENT(S)178/4,okti &-rt tkr- P hour. - <br /> S• 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. f <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE MID PRfiMISES. <br /> Q� <br /> \v SIGNATURE OF APPLICANT _pA 0 DATE /n <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FU 00 14 (REV 11192) <br /> a <br /> z0'd 60SESEBT 01 wnN-i wNPc:an cr-rT-).2-ca <br />