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SAN JOAQUfN COUNTY <br /> f ) PtfBLIC HEALTH SERVICE`S <br /> ENVIR.ONMT.NTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELE.ASI+_'. APPLICATION <br /> - PIIONE NO&q t1- 3 S-7 O ._ <br /> APPLICANT' a 1 �,� - <br /> ADDRES� T <br /> AGENCY NAMB_N„f ,., NO (o!4 el <br /> ADDRESS Moo n Sc5r 1 5 <br /> k TII.X_ADDRFSS LjLAD nQENCY PAYME <br /> IU— <br /> rilEcelveD <br />¢i 5B-1 Z4,+ <br /> U <br /> �}.1112 Tl,i�,rr►fi,r, � S Vb�1'y�•� n.�e�...,�. ,NCO NIa <br /> .4 170 7_g-r-1� ::L uh.h7., -mr Imal EN�r�NmENr��HFHi4 <br /> r <br /> 93 <br /> UNTY <br /> ENVIRONMEI�ITAuI M ERVILTT <br /> aII9 fvOTLCE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH 1 <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(ERD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STA'T'E WATER CODS, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> -1. A MAXIMUM OP TEN (10) PREMISE ADDRFSM PER REQUEST. <br /> 2. PUBLIC FILESMECORDS REVIEW ARE BY APPOINTMESI ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE IIOURS FOR APPOINTMENTS ARS SCLIEDULED <br /> MONDAY T'HRU FRIDAY EXCLUDING 140I1DAYS,8:40 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. I <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OP$78.00.„. <br /> -IS REQUIRED, DEPOSITS WILL, BE R=MNED TO TILE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THIS MD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS 'THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCV OF THE CHARGES ARE DUB AND PAYABLE PRIOR TO REVIEWING 7VE <br /> DOCUMENT(S). <br /> s• PUBLIC FILES/RECORDS NOT R.SnMI-MTD IN THE SAME CONDITION AS RECEIVED WILL BE <br /> COLiREUIS BY THH EHD STAFF AT THE EXPENSE OF TITE APPLICANT. THIS ADDITIONAL 1 <br /> 'SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6• ORIGINAL PUBLIC FILES/RP-CORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> �u <br /> 1 SIGNATURE OF APPLICANT —� --- DATE 0 <br /> bw 13 <br /> IV <br /> ISIG NATURE OF RELEASING OFFICIAL DATE <br /> Ell 00 14 (REV 12192) <br /> s n J C r -a,)r r T <br /> a <br />