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SAN JOAQUIN COUNTY <br /> JAN 12 1993 ji PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH I)MSION <br />' EWPONMEWAL HEALh{ PUBLIC RECORDS RELEASE APPLICATION <br /> PERMIT/SERVICES <br /> APPIlCANT I�C5!n213 �# <br /> ADDRESSI vel ,ees,r o i-2v <br /> AGENCY NA11sB �! i 2 r/ PHONI3 NO <br /> ADDRHS5i � - �....-- <br /> ACL 1 S171C E'7Dx� <br /> D PLEAD A CY DATE <br /> O/ <br /> ® a-rrna' t0ro C'o r o,a <br /> 00 6. ii o;-ado <br /> 49 5 0 <br /> a,� q, Rgool <br /> "'t LIICSf. ae- _bL. at otg jloiG -ADT <br /> .fa ctl,:�y <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/HNVIRONMENTAL HEALTH DIVISION(EHD)POLICY#924007,ORDINANCE CODS OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMI3NT CODE AND THE EVIDENCE CODE. <br /> u <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGEDj'BY-lCALLING (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-REFUNDABL$DEPOSIT OF$79.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPllHD 'COWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUIl AND PAYABLE MO TO REVIEWING THE <br /> DOCUMI3NT(S). I! <br /> I� <br /> S. PUBLIC PILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECnii BY THE BHD SCAPP AT THE EXPBNS$ OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOk PAYMENT. <br /> b. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATUREiOF APPLIC C C DA - T C Z-ft <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> QR�j� EH 00 14 (REV 12/92) <br />