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SAN JOAQUIN COUNTY <br /> PUBLIC HEAL'T'H SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> j P'UBUC RECORDS RELEASE A FPLICATION <br /> APKICANT 11PHONE NO c7lL 441-3r,70 <br /> i <br /> ADDRESS NS;23 Tptia� FRj• bA <br /> AGENCY IMAMS Pvv Mw�t- la�wtwcpti I�_PHONE NO l b <br /> ADDRESS vs T�ibulG l�f. 4Q _ R b 4y-3S7[7 <br /> i� <br /> FL <br /> ADDROS LEAD A NCY DATE <br /> �r �N rr t' L�►c� I� <br /> AvNa-lr,W Mot!4 7wj Nl!lwv�v- EA- <br /> 323o N. Wc,� <br /> i <br /> 1235 A-1 i►w leve- E <br /> c�rv►ry KPF IL'LtE at ,tom i <br /> 6cil {)p hti[. Hl 152,$ G--L Pik'� F—# i} <br /> If <br /> lil i� <br /> i <br /> IMS NOTICE IS SUWECT TO THE REQUIREMENTS IDENZ FIED IN THE PUBLIC HEALTH <br /> f <br /> SERVICES/ENVIRONMENTALHESALTH DIVISION(EHD)POLICY#9Zb0l, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND 9RRViCE CHA.RUE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE, <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PEkREQUEST. <br /> 2. PUBLIC FILESMECORDS REVIEW ARE BY APPOIN <br /> ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)46$-0340. OFFICE FOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING I101.IDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. �A <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A N'ON-R <br /> MUNDA13LF DEPOSIT 0178.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNF-D TO THE APPJ ICANT IF THE MLESIRECORDS ARE <br /> i NOT AVAILABLE WITHIN THE CUSTODY OF THE ERD, <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED T'OWIARDS ;1THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUB AND PAYABLE PRIOR TO REVIEWING TRE <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 TH' E APPLICANT. THIS ADDI'T'IONAL } <br /> \ SERVICE WILL BE BILLED TO THE APPLICANT FOR pAYMEN'T. <br /> 6. ORIGINAL PUBLIC FILBS/RECO <br /> RDS SHALL NOT BE REMOVED <br /> FROM THE PHI) PREMISES. <br /> SIGNATURE OF APPLICANT SG0P- 1 � DATE <br /> SIGNATURE OF RELEASING OFFICIAL is DATE <br /> EH 00 14 (REV 12/92) <br /> TP*-1 CTOrC�-OC1 TC7 n, 4 i,n.�J iiJnr_.r-f� f^CCT,^T_r'rl <br />