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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> IIWIRODWENTAL BFALT.H DVYISION <br /> PUBLIC RECORDS RE FsSE APPLICATION <br /> I4[ <br /> t,I <br /> I I <br /> APINUCANT Binayak P. Achar a PHONE NO_ (818) ,LU- 948 ' <br /> ADDRESS 800 N. Brand Blvd. , Glendale% CA _ <br /> A(3SNCY NAME San Joaquin County Public+_HealtL FHONE NO <br /> ADDRESS Services <br /> �i <br /> EI_AMEMO LBAD AGENCY pATB <br /> 4343 East Freemont St. <br /> a <br /> j 1 <br /> I <br /> I <br /> 4 <br /> t <br /> TEAS NOTICE IS SUWECT TO THE REQUIREMENTS IDS IN THE PURUC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(FED)POLICY#9Z4)(17.ORDINANCE CODE OF SAN <br /> JOAQUIN COUN'T'Y, EHD FEES AND smvICB CHARGE MOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN(10)PREMISE ADDRESSES PER REQUEST. ; <br /> Z. PUBLIC FILEWRgCORDS REVIEW ARE BY APPOMUM O APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OMCE HOURS FOR APPOW7MENTS ARE SCHEDULED <br /> MONDAY TRRTJ FRIDAY EXCLUDING HOLIDAYS, 8:00 AM..Tb 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> if <br /> 3. A PTTBIIC RECORDS RELEASE APPLICATION AND A NON- ABLE DEPOSIT OF S78.00 <br /> IS REQUIRM. DEPOSITS WU.L BE RETURNED TO THE APP11CANT IF TIRE FI Y-WECORDS ARE <br /> NOT AVAIIABLE WMIIN THE CUSTODY OF THE EHD. �k <br /> 4: THE ABOVE IDENTIlIED DEPOSIT IS APPLIED TOW 'ARDS THE TOTAL. FILE REV 15W FEE <br /> CHARGIL THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE Q$TO RBVMWING THE <br /> DOCUMENT(S). ;t F <br /> I� <br /> j 5, PUSIIC FILM//RECORDS NOT R,ETCTRNIs'D IIv THE SAME CONDITION AS RECEIVED WILD.BE <br /> CORRECTED BY THE EFID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL ° <br /> \\ SERVICE WILL BE BILI ED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FBBSIRECORDS SHALL NOT BE REMOVED FROM THE EE D PREMISES. <br /> r � <br /> I <br /> SIGNATURE OF APPLICANT DATE 3 <br /> I SIGNATURE OF RELEASING OFFICIAL, i DATE <br /> EH 00 14(RE* IV92) F ji <br /> k <br />