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SAN JOAQUIN COUNTY <br /> PUB <br /> LIC IIF.ALTH 5 -RVICES <br /> ONM ENTAL HEALTH MIS <br /> ION <br /> PUBLIC RECOIIDS 'RELEASE APPLICATION <br /> APPLICANT PHO-Am 1-40 <br /> ADDRESS ! Gam►-� S ' <br /> AGENCY NAAAB PHONE N(?�'r�iT; <br /> ADDRESS a <br /> Eux AD -9 S LEAD AQzWCY DA <br /> - <br /> d <br /> cam- I+��''�- L♦'-G �.. 1 �`� ---- �K 3 S <br /> THIS N017CE IS SUBJECT TO TILE REQUIREMENTS IDENTIFii t) iN THE Pt16LIC HEALTH <br /> sERVICEStENVIRONMENTAL i-IEALTll DIVISION(010)POLICY#92 007,(3RI)iNANCE CODE OF SAN <br /> )OAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RE.SOLU'CIONS, STATE WATER COBE, <br /> OOVPRNmENT CODE AND'I?IE EVIDENCE CODE- <br /> 1. A MAXIMUM OF TEN(10) PREAUSE ADDRESSES PI:R REQUEST. <br /> 2. PUBLIC FILESIRECORDSREVIEW ARE BY APi'C?[N1'IMI?NT ONLY. Ai'F^OiNTIrIENTS ARE <br /> ARRANGED BY CALI-ING C209)468-0340. OFFICE HOURS FOR APPOINTMEN'T'S ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCI.UDiNO HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:04 P.M. TO 4.30 <br /> P.M. <br /> i <br /> 3. A PUBLIC RECORDS RELEASE APPLJCAI]ON AND A NON-REFUNDA111,F Di_f'OSIT OF 578.00 <br /> 1 IS RE(ZUIItEt3. UEPOSI'TS w[IL BII RETURNFE) 'TO TIIB APPLICANT' ii:-n4G FILMI RECORDS ARE <br /> : y <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE BHD- <br /> 4. THE ABOVE IDEN'nF1I3L) E)EPOSIT IS APPLIED TOWARD$ 1116 TOTAL FILE REVIEW FFA <br /> CH!!R1aE. THE BALANCE OF THE CHARGES ARI:DUS AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC F'IL.ES/RECORDS N(7F RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY T'1-E EHD STAFF AT THE EXPENSE OF THE APPLICANT. 'PHIS ADDITIONAL <br /> { SERVICE WILL BE BII.LEb TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FIL.ESIRECORDS SHALL NOT BE REMOVED I-ROM THE GIIL)PREMISES. <br /> SlaNATURE OF APP11CANT f� 4 m•in, L I5A1E —It' ) _ <br /> SlaNATURE OF RELEASING OFFICIAL DATE <br /> Eff oa 14 (REV 12192) <br /> 91.2 3/9s— <br />