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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> >•VVIRONMENTAL HEALTH D to 1 <br /> "LIC 1R�ECORDS RELEASE API ICATIONr \ <br /> APPLICANT J �� i�� c; •• S PHONE NO `7(: ) �_ ( �`C. <br /> ADDRESS.Lk,i !lI , A 1�c -. Cyk <br /> AGENCY Nfun��_\Z - ,\ )}ftVlVa A , s n <br /> ADDRESS <br /> EM ADDRESS LEAD AUENCY DATE <br /> PAYMENT— <br /> RECEIVEn- <br /> M. <br /> RAN ,nA <br /> PUBLIC HE LTFI SERVICES <br /> .JAWRQW A n. <br /> THIS NOTICE 1S SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION (END)POLICY#92-001, ORDINANCE CODE OF SAN <br /> JOAQUIN COUN'T'Y, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE 13Y 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 DEPOSIT OF 08.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OP THE EHb. <br /> 4. THE ABOVE IDENTIFIED UEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIE PER <br /> CHAROB. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIBWIN THB <br /> DOCUMENT(S), <br /> S. PUBLIC F►LES/RECORUS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WI L BE <br /> CORRECTED BY THE MD STAPP AT THE EXP13NS13 OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BB REMOVED FROM THE EHD PREMISES. <br /> SIONATURB OP APPLICANT DATE t f 7 n 3 <br /> SIGNATURE OF RELEASINO OFFICIAL DATE <br /> MI 00 14 (REV 12/92) <br />