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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> EN IRONNfENTAL HEALTH DIVISION C(r L <br /> • PUBLIC RECORDS RELEASE APPLICATION " <br /> APPLICANT 3c �'e r i L . --i-ro,,4- PHONE NO J 6 366-/EO/ _ <br /> ADDRESS ;�c <br /> AGENCY NAME- <br /> K },i Et� _ -PHONE NO <br /> ADDRESS <br /> i <br /> PILE- DDgUS LEAD AGENCY DAA <br /> ��o ti ECE <br /> 6•c ;P'- gup 2 3 1 93 <br /> t' Fi (�CC SftT�3E3AQ' - <br /> =S[7 ? �G'c i Vc I�v� ("^u t{ -P-li�1.1G.HEALTH SG ON <br /> RVI(. <br /> dLA! C d n6l _ ENVIRONMENTAL - <br /> 03 P6- CQ -� <br /> 6 a c <br /> Ims NOTICE IST TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/FNVIROAL HEALTH DIVISION(ERD)POLICY 092-W7,ORDINANCE CODE OF SAN <br /> IOAQUIN COUNTFEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT COjj]GD <br /> THE EVIDENCE CODE. <br /> 1. PUBLIC FIORDS REVIEW ARE BY AP NTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY C (209)468-034+0. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY TIHRU FRED CLUDi <br /> Y FXN0 HOLIDAYS, 5:00 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-REam!DA=DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FIL.SVRECORDS ARE <br /> NOT AVAILABLE WM jt4 THE CUSTODY OF THE EHD. <br /> 3. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BAW CE OF THE CHARGES ARE DUE AND PAYABLE PR10R TO REVEEWiNG THE <br /> DOCUMENT(S). <br /> 4. PUBLIC FILES CORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WH-L BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE RnIM TD TIB APPLICANT FOR PAYMENT. <br /> S. ORIGINAL P'UB C F Es/RECORDS SHA3L NOT BE REMOVED FROM THE EM PR�KSES. <br /> SIGNATURE OF APPLICANT DATE Z <br /> J � <br /> SIGNATURE OF RELEA SING OFFICIAL DATE <br /> I EH 00 14 (REV 110/92) <br /> I i d LE : 1 I _3s/OEiO i W08-4 <br />