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`l t d fHlu l <br /> r SAN JOA,QU]N COUNTY <br /> AMLIC HEALTH SERVICM <br /> W4 VIRONUMMAL HEALTH DIVISION <br /> MOLIC RECORDS RJEI.SASE APPLICATION <br /> APPLICANT ,F l�L�t7-�' SO N S 1.\�_, MONE NO <br /> ADDRESS 1166 ._ QA <br /> AGENCY NAME ,cs` PHONE NO 5 y + -- <br /> ADDRESS <br /> I�ii:,B�DDRI; LEA GSN 'Y IDA <br /> THIS NOTICE IS stimECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH . <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION(SID)POLICY#92-007,ORDINANC <br /> JOAWN COUNTY, EHD FEES AND SERVICE CHARGE 1tlrSOLUTTONS, STATE <br /> 0OVERNMEENT CODE AND THE EVIDENCE CODE. 1Vj®. <br /> AUG 3 1 1993 <br /> 1. A MAXIMUM OF TEN (i0) PR.I A+IISE ADDRESSES PER REQUEST. SAN JOAQ�IA, <br /> INV U13LIC MEALI7 j Stpy rY <br /> 2. PUBLIC FILES/RECO"S REVIEW ARE 13Y POI ENT ONLY. Ap � S <br /> ARRANGED BY CALLTNcI (2Q9)4d8-0344. OFFICE HOURS FOR APPOINTMI3NTS ARE SCHEDUL�1QN <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:W NOON AND 1:00 P.M. TO 4:30 <br /> P.M. r <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND'A ON-RE ABLE DEPOSIT OF$78:00 <br /> IS REQUIRED. DEPOSITS WILL BE <br /> kISTETRNE1a TO <br /> THE APPLICANT IF THE FTL&5/RECO <br /> NOT AVAILABLE WITHIN THE CUS'T'ODY OF THE EHD. RL7S ARE <br /> 4. THI3 ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FFRL REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHAtto ES AMIE DUE AND PAYA13L.E TO REVIEWING TPI3 <br /> DOCUMENT($). <br /> 5. PUBLIC PILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECE VEb ALL$$ <br /> CORRECTED BY `INE EHD 5'TAPP AT THE EXPENSE OF THE APPLICANT. . TWs'AbDMoNAL <br /> SERVICE WILL 13B BILLED TO THE APPLICANT FOR PAYMENT, <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PRBMISES. <br /> • 1 <br /> SIGNATtM OF APPLICANT <br /> DATE 2� <br /> SIGNATURE OF RELEASINO OFFICIAL DATE <br /> EH 00 14 (IZBV 12/92) <br /> EO*J 9TO6892T 01 W0di WH6ti:OT E66T-4Z-BO <br />