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SAN JOAQUIN COUNTY <br /> PUBLIC IIEALITI SERVICES <br /> �.( ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE. APPLICATION <br /> j APPLICANT' (e _�clg 1 PRONE NO 6�S7 O <br /> ADDRESS O <br /> AGENCY NAME 0n✓; ' PHONE NO (o49 , -4 S-1 O <br /> ADDRESS VFL)O fed 1-:'- 101_ �__ G.i(n CIE 1=11 S 7-1 S <br /> 3 FILB ADDRESS LEE) AGENCY PAYMrQ <br /> q d S RECEIVVer) <br /> 6� 1 to Tl,mrvA , UIN cogfyTy <br /> 1170 –9 t9 'Ij, ENVIRONMENial HHEAjwj)Iy♦g�— <br /> PAYMENT- <br /> Q _ ."GE ....D <br /> g 1993 <br /> \U\1v <br /> COUNTY <br /> ENVIRONMENB Ipi uce��rRVI ES „ <br /> H <br /> DIVISION <br /> THIS NO'17CH IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION(EIID)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 /> t. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST: <br />-j 2. PUBLIC PILES/RECORDS REVIEW. ARE BY APPOINTMENT ONLY. APPOIN'T'MENTS ARE <br /> j 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 /> j P.M. <br />'1 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00., <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO TILE APPLICANT IF THE PILES/"CORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE WID. <br />.a <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCp OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S S. 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 /> \U��) 6. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPIICANT -- -- -- DATE (01 ;v' I _ <br /> e SIc:NATUREOFRELEASING OFFICIAL DATE _ � <br /> III 00 14 (REV 12/92) n <br />