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8-1 A-1996 2:02PM 1-HOJOIE NC 20y ybb 0/Nd Z� <br /> x/e Av-e-� <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIROMUNTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPTII`_A.NP bb PxoNJ3 ,xo <br /> ADDRESS <br /> AGENCY NAlYM- Mvaoc{ (7.o F.tylv_o_ij h-&tj tt PHONE NO 15-5'026 <br /> ADDRESS 1103 v1/. Hart 1,a7� SLc f} r 5 acJ jol <br /> EgmB ADDRESS ).EAD AGENCY DATE <br /> 19�i ( W- Murch L.v), P45- 1= H I7 <br /> Prr54utci Ayf- <br /> m Li K K 4! N_ •, j ,&I9 .ye__ <br /> m 4yHS w- P-# 'l4ina, Ave . <br /> ca '15'0 1 V- Per5Aw A` ? , �35- 3 o /f K <br /> o <br /> 455-5- N ParA tee <br /> ab <br /> 5-609 IV. Parf;A4 v - 3S. a2� L 7- <br /> a tf7a Z f-tc;fic Avt 6N &n <br /> S L100 a c i i s <br /> vp . ✓!tit, <br /> m 1 6 2 1 .B r oo K,5; 2 R _ .35oZ 7 /'�•-rt <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD) POLICY #92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES- AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND TILE EVIDENCE CODE. <br /> 1. A MA?QMUM OF TEN(10)PRLRUSE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)463-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY E% CLUDING HOLIDAYS, 8:00 A.M.TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILFSIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EIiD. <br /> C THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S)- <br /> S. PUBLIC FIL_FS/RFCORDS NOT RMTWED IN THE SASE 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. <br /> 6. ORJGINAL PUBLIC FIIEc/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DA'L'E <br /> EH 00 14(REV 17192) <br /> , <br /> r o <br />