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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVItw.. <br /> YlqVMONNIENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT i7/I''fvlk� ' Pey3ow$ PHONE NO <br /> ADDRESS - r _3l 5 A I ",�v, Pel l S�•.�a 3,(L) <br /> AGENCY NAMB � PHONE NO <br /> ADDRESS <br /> FILE. ADDRESS LEAD AGENCY DD <br /> <j,n,)/ef 5,;l1 euu <br /> 2-f 22 W t-&w,icr G.L. <br /> Lo.0a c rt P.AYME T <br /> RECEIVED <br /> MAD 1 ? 1994 <br /> _!liK k l n c✓ 4-IzL.f SAN 10AQUINUNT'f— <br /> PI IRI IP HEALTH SERVICES <br /> L�„ , _ ENVIRONMENTAL HEALTH DIVISION <br /> i�y�y,vl�e'•P la, Sf n �I'J\V L�v1 U."J+ 'Il <br /> THUS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)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 13E 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 BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> s. PUBLIC FILES/RECORDS NUI'Kbl UKNbi)IN IME 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 FILES/RECORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br /> SIGNATURE OF APPLICANTay w; T z ,7�.L � z DATE 31161 el y <br /> SIGNATURE OF RELEASING OFFICIAL/ DATE <br /> b EH 00 14 (REV 12/92) <br /> TOTrL P.02 <br />