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SAN JOAQUIN COUNTY (��' " <br /> PUBLIC HEALTH SERVICFS` —,' <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> q l <br /> APPLICANT �jEOL�'1Gs9t% �1/Dl/ �Gi. /�t/y FIIONH NO <br /> ADDRESS ZWM;s <br /> AGENCY NAME PHONE NO ; <br /> ADDRESS <br /> i <br /> EU--U-APD \\ Ir-�AC_ENCY D._ <br /> -- <br /> Z T CC.I•i 4e7WrO <br /> //o iv. n/LI.S Ex-T 5r. (.7JEL 401AI7+- D <br /> f!o s. ti�� ST. _CDEz �ua� ass l <br /> 400 7-S7- l3CGbM 652v T,� a <br /> E- /*c OM _577 I' <br /> _Z220 E- r72E7It0VT 5"7 (f m l c7✓Y <br /> D C • rTzv�voM bi'- l�•ts AiiPrl&Wf r 44t^✓T CE s � <br /> 2! d's / . FA�7L1G�✓T ST �$E �N ¢9�F) ENWg9NA4FPAA{t IEnLiFt <br /> PERMIT/SERVICES <br /> i <br /> IIIIS NOTICE IS SUBJECT TO THE RF,QUIREMFNTS IDENTIFIED IN TIIE PUBLIC HFALTII <br /> SERVICES/FNVIRONMENTAL HEALTH DIVISION (FHD) POLICY #92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILFS/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 Lou P.M. TO 4:30 <br /> . P.M. <br /> 1 <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 { <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILFS/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALAVCB OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> i <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN TILE SAME CONDTIION'AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF TIIE APPLICANT. THIS;ADDITIONAL <br /> SERVICE WILL BE BILLED TO THF APPLICANT FOR PAYMENT. <br /> 6. , ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL _ DATE <br /> FH 00 14 (REV 12/92) <br /> s <br />