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r Al <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES �n V .so <br /> ENVIRONMENTAL HEAL'T'H DIVISION Qa <br /> r PUBLIC RECORDS RELEASE APPLICATIO <br /> r6/7 . <br /> APPLICANT eq r1 ry.-)dLr, PHONE N <br /> ADDRESS I v M e lit S 6o r"wSev+ s� <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DAT 3 <br /> 17 <br /> Ske l!i :301 a e Lol' //-At G Z <br /> vp <br /> Zoe <br /> e . <br /> llto roil 2 qo5" w - m' M bo ve -Q khil 'o <br /> AI'Ct1 -� '7 (f P•� S{ L 0 1-1 11 <br /> r;vf cG Vert- err r� c-A G o l' <br /> 7d•. ('ordiac k -- <br /> She� - c'_y p <br /> 61;7-r( -� YSaI �I�U /1�rt SCfci2_ 4� 141 <br /> j�� <br /> y <br /> T141S 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 THE EVIDENCE CODE. <br /> 1. PUBLIC F'ILESI"CORDS REVIEW AR$ BY APE9lXU4M 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 /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABJ DEPOSH'C OF$78.00 <br /> IS REQUMED. DEPOSITS WILL BB RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. 1 <br /> 3: THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILO REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 4. 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 ADDMONAL <br /> SERVICE WILL BS BILLED TO THE APPLICANT FOR PAYMENT. <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE It-- A - Y Z_ <br /> SIGNATURE OF RELEASING OFFICI DATE <br /> EH 00 14 (REV 10192) <br /> vl <br />