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�'✓ SAN JOAQUIN COUNTY ••/ _r -�/��' L _ : <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE N0C9/d G 3 1 q:5 5 <br /> ADDRESS 302 3 j « rc c 13!yd C,44 S7g2__ <br /> AGENCY NAME ,L� /-�- �n yr var,rn asz PHONE NOcz baYr <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 1) X00 Ecr- I- ,LDuI 5-e vac <br /> —1 I Q b s c>,,+L. Nom✓/'T A P;7 <br /> 3J 4-- Lau r S <br /> Sou ft. H,:7w ct h R� <br /> EQ -,4- L.av,S<- <br /> ,Z-e <br /> cr-Z-P ez!>1 I <br /> (-G► <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 />— - =MERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/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 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DU <br /> � <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FI PC <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. EIVED <br /> o.1111 12 1 9 <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THEZJ <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE <br /> DOCUMENT(S). ENVIRONMENTAL HEALTH DIVISION <br /> 5. 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. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT ZCi DATE -7--7 -� 3 <br /> O SIGNATURE OF RELEASING OFFICIAL DATE <br /> 0� EH 00 14 (REV 12/92) <br />