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SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICT <br />NVIRONIVIENTAL HEALTH DINASION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT 4,5ec e rtA., ; AI *sot- .4 PHONE NO <br />ADDRESS H33 Madt4 giqj . • Sa c.trarn e."4 q5e3 Y AGENCY NAME PHONE dO <br />ADDRESS <br />hICS Ctr-C. <br />FILE ADDRESS ‘kic-2-116/4. LEAD AGENCY PATE <br /> <br />R7-00 Navi <br />-"No 'as Netv trod, <br />J <br /> <br />5 PAYMENT 21,1 Wes+- 41C13 <br />h4v i esqut, <br />.7-1 _Nng <br />411, W jcsl- LN.], eta .circcf 95'403 RAN inAguiN rni INTY <br /> <br />2oJ ii j- q5d0 PUBLIC HEALTH SERVICES <br />fiNviRuNlviEN 1AL HECTFrOwISION <br />THIS NOTICE Is SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENNTRONMENTAL HEALTH DrvisION (E11139 POLICY #92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, BUD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMgNT 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 1200 NOON AND 100 P.M. TO 430 <br />P.M. <br />A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78.00 <br />IS REQUIRED. DEPOSITS WILL BE RETURNED TO 'ME APPLICANT IF THE FILM/RECORDS ARE <br />NOT AVAILABLE WITHIN THE CUSTODY OF 'THE EHD. <br />4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE Tam, FILE REVIEW FEE <br />CHARGE. THE BALANCE OF THE CHARGEs ARE DUE AND PAYABLE PRIOR To REVIEWING WE <br />DOCUMENT(S). <br />5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE -MID STAFF AT THE EXPENSE OF WE APPLICANT. THIS ADDMONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br />ORIGINAL PUBLIC FILES/REcORDs SHALL NOT BE REMOVED FROM ME BUD PREMISES. <br />SIGNATURE OF APPLICANT DATE ///o/ <br />RECEIVED <br />QEC 0 2 1493 <br />SIGNATURE OF RELEASING OFFICIAL <br />EH 00 14 (REV 1 2/92) DATE <br />1,