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, <br /> 1(A SAN JOAQUI.N COUNTY <br /> PUBLIC HEALTH SERVICES <br /> l' ENVIItONMENI'AL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 6r:.. 1 e- —Fa.4 l ,i_ PHONE NO -315-7 0 , <br /> ADDRESS - - - - - - - <br /> AGENCY NAME 6:I/i PHONE No �4 -3 S77 Q .� <br /> ADDRESS [ .,uk - 01 G S <br /> ' FILE ADDEM5 LEAD_AOTNCY <br /> s CElven <br /> x Fm <br /> ` mMu �E uta 0004 <br /> 17() -.9 1�1 jh2l, R.t <'c�� _. _ ENV1ROHb ray SEA <br /> PA Vuc&mr <br /> r � <br /> VL)nV LTOUNTY <br /> / ENVIRONMENTAL-uFe�rRVICEs <br /> H Dlu.j ��,8o,uN <br /> � <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN TIE PUBLIC HEALTH <br />.' SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODS OF SAN <br /> JOAQUIN COUNTY, END PEES AND SERVICE CHARGE RESOLUTIONS, STA'T'E WATER CODS, <br /> ©OVE LAMENT CODE AND TFIE EVIDENCE CODE. <br /> t. A MAXIMUM OP TEN (10) PREMISE ADDRESSES PER REQUIES . <br /> ' 2. PUBLIC FILES/ItECORDS REVIEW. ARE BY APPOIN M O APPOINT":xENTS ARE <br /> ARRANGED IIY 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 /> 1. 3. A PUBLIC RECORDS RELEASE APPLICA'IJON AND A NON—R1~MMAm DEPOSIT OF$78.00 <br /> IS REQUIRIM. DEPOSITS WILL BE RETURNED TO TUE APFUCANT IP THE FILFSIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE E.HD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> s�. CHARGE. THB BALANCP OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING TuE <br /> DOCUM-ENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> COIt.RECIT•sD BY TH13 MiD STAFF AT THE BXpENSE OF TII& APPLICANT; THIS ADDI'DONAL <br /> SERVICE WILL BE BILLED TO THS APPLICANT FOR PAYMPINT. <br /> 6. ORIGINAL PUBLIC FILES/RECO-RDS SHALL NOT BE REMOVED FROM T14B EHD PREMISES. <br /> x• <br /> . SIGNATURE OF; APPLICANT DATA 0- <br /> SIG <br /> NATURE OF RELEASING OFFICIAL DATE <br /> 1.11 00 14 (REV 12/92) -- <br /> e <br /> rT!-'.i^rI-/]lnTTT <br />: GGWw_ <br />