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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ::TOL -J�,c,� Z( PHONE N0('91d<�: 3 1 -`/y 5 2�- <br /> ADDRESS 3a 3 j 5u rt v 5< 131 vei SL" -fir S 4z4,c-jm CZ,�4eva C4 q,5-7q2_ <br /> AGENCY NAME -n vt PHONE NO 5,zQ baY� <br /> ADDRESS cz./Z::2775zr' <br /> ct( ( 51 (— s I-A-ylenp( C /-} <br /> FILE ADDRESS LEAD AGENCY DATE <br /> () j'Oo F-c? 5 �- LDur Sf�Uc <br /> Z) 1 I Q b 5 o v-}-1 Hcw Icz h k0; <br /> E_ct �- Lav r S <br /> µ) l S 4 o o Sov t'-(t::w ct h (Z� <br /> 5� 3�-S Ecz 5 t- Lir sr J�clt <br /> �) L�fP/CYLah�/L� oil S-Icz�o�-,� <br /> THIS 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, E14D 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 BY 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 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FI �ItE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> ,)III 1 2 1 q <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTA4AKI R S <br /> CHARGE. THEPRIMOJ BALANCE OF THE CHARGES ARE DUE AND PAYABLE I #� <br /> DOCUMENT(S). ENVIRONMENTAL HEALTH DIVISION <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE END STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE ---7 -� 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> b EH 00 14 (REV 12/92) <br />