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I-HUM AGE NC 209 956 0700 <br /> P. I <br /> i <br /> g5;gs- <br /> SAN JOAQUIN COUNTY / ^^ 11 1 <br /> PUBLIC HEALTH SERVICES � t 3 <br /> � LI <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ii <br /> / 1uRNfep rseaEnvloVlrtPn �� InC.� I <br /> APPLICANT PHOT <br /> ADDRESS oI f} 5 7 i <br /> AGENCY NAME PHONE NO <br /> ADDRESS I <br /> E)•T=A aMORYS LEA-D AGENCY DATE <br /> 0 @315 M. E st t K10 P 3S•a4 � �r J I <br /> Z?)2o iv ct jDQpqan <br /> o y4 3S Ij <br /> 0 U10 W. FIRAP:mc+ wa,� . JVj <br /> 0 <br /> 1!'1 w. N�aot� mss- 3o E� 19 <br /> 0EMARO SE �1 f <br /> E II / ; <br /> 0 1 t Al- tt0 .i � 4 <br /> 71115 NOTICE lS SUBJECT TO THE REQUIREMENTS IDENT7nFD IN TIIE PUBIJC HEALTH,' <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(RHO)POLICY X92-007,ORDINANCE CODE OF SAN a <br /> JOAQUIN COUNTY, Oil) FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND 71113 EVIDENCE CODE. d <br /> 1. A MAXIMUM OF TEN (10)PREMISS ADDRESSES PER REQUEST. <br /> 2. PUBLIC: FILES/RECORDS REVIEW ARE BY APPOINT-MEN ONLY. APPOINTMENTS ARE '] <br /> ARRANGED BY CALLING (209)468-0340, OFFICE HOURS POR APPOINTMENT'S ARO SCHEDULED � <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO L2:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> II` <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND wNON-REFIJNUABLF_pEPOSI'T OF 578.00 <br /> ISREQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE L1LFS/RECORDS ARE, : <br /> NOT AVAILaBLB WCIHIN THE CUSTODY OF THE EHD. <br /> y i <br /> 4. T146 ABOVE IDENTIFIED DEPOSIT 1S APPLIED TOWARDS THE TOTAL FILE REVIEW FEE ''• <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE FRIO TO REVIEWING THE' <br /> DOCUMENT(S). .i G <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE, ,i 'I <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL• I <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT- <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT 0. DATE 1 4?ju is <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14(REV 12/92) , <br />