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SAN JO LQM COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTHDIVIS N <br /> PUBLIC RECORDS RELEASE <br /> APPLICANT Kl1 . I PHONE NO 3 -3Iy <br /> ADDRESS PHONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> 5 �� _ DATE <br /> FILE ADDROS 3k <br /> Jan LWT)us-F&I AL INIJ <br /> �R7hC 1Gi ul�la 99 <br /> 1)bli <br /> Vrnc <br /> .22 19 o w -rj� 1 — S <br /> `51(o FfonT�wc_�'�a - <br /> �` <br /> An Ionto- t o <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED LN THE PUBLIC HEALTH <br /> SERVICESDE OF SA-N <br /> JOAQUIN COU�TONMENTAL HEALTH DIVISION(ERD)POLICY M-W71 SERVICE CHARGE RESOLUTIONS, STATE WATER NY,, FHD FEES AND ER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> ONLY APPOeMAENTS ARE <br /> 1. PUBLIC FILPS/RECORDS REVIEW ARE BY �PPS?IIrfMEN�-- <br /> ARRANGED BY CALLING (209)4684340. 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 /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-RUUNDABU DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILFS/RECORDS ARE <br /> NOT AVAILABLE WITEN THE CUSTODY OF THE EHD. S M TOTAL _ FEE <br /> 3.CHARGE. THEBALANABOVE CE OF THE CHARGES ARED DEPOSIT IS APPLIED <br /> DUDE AND PAYABLE E�Loa T RPV¢REVIEW THE <br /> DOCUMENT(S). <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THIS SAME CONDITION AS RECEIVED WILLBE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BMI.ED TO THE APPLICANT FOR PAYMENT. <br /> S. ORIGINAL PUBLIC FILESMECORDS SHALL NOT BE REMOVED FROM THE EHD AR SES. <br /> SIGNATURE OF APPLICANTPAY TE <br /> ECEIVEgATE <br /> SIGNATURE OF RELE(SING OFFICIAL <br /> (r EH 00 14 (REV 1()/92) i SAN JOAQUIN COUNTY <br /> Q PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> I ' d LC : 11 Z5i06i01 <br />