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wi2<S N, <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT OLlX164t' jJ rf c-,PHONE NO dZ <br /> ADDRESSZMXC� -'EF Sal .4 57IJ�6=1� 9S 2�7 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> EUX ADDRESS LEAD AGENCY DATA <br /> s 4 <br /> r/✓. L�"ST cCA1L int /�/s7 <br /> C//o N. FrIIOFP-7- ZT /'DEL/1fONT6 <br /> ZQ10 Uj!�7. Fe�uo,IJT ST f3cGbc./ I(? <br /> Zo�p E. ewr- �OtJC7a CVTELL! o✓J� 3 <br /> — <br /> 7,15-0 Cl . 52,F!WeA,7-57-•• lLd�fs� 1019N,9AY,;,s A r C - s�y.��s✓� <br /> Z/ d'S �. FRE7LILP/T ST <BEt�Zoru /�¢q¢� ENWR9p�EALTH <br /> PERMIT/SERVICES <br /> T41S NOTICE IS SUBJECt TO THE REQUIREMEMI'S IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EMD) POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD 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 DEPOSIT OF $78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALA4CE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE O <br /> 0 SIGNATURE OF RELEASING OFFICIAL DATE J <br /> EH 00 14 (REV 12/92) , <br />