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SAN JOAQUIN COiJNTY <br /> �iBL[C HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P I LIC RECORDS RELEASE APPLICATION <br /> APPLICANT �Ef R'l I f I PHONE NO�°1 O A6 <br /> ADDRESS I j-�i�p— C rc-le Sou u vteh}� , ca x1.572--�- <br /> AGENCY NAME k Lc r N FCL D& 2 PHONE NO A(36 JG <br /> ADDRESS o&- -s J <br /> FILE ADDRESS LEAD AGENCY DATE <br /> s�98 ri, vis s :5 CND <br /> 144heD PHS <br /> /')v /4(p- L,JIC <br /> 12-0OI S. N ytid, _92_ ST ifWD X0 <br /> !' �STL FF/r7 <br /> STC -�lFr� <br /> l3� L <br /> L97 ? S u;.a,i S rcrC[f0 <br /> ly4 4SSC i ilD __ 71 <br /> _C'TC.,e4�/—f D <br /> .CTC _ r///) 5', <br /> THIS NOTICE IS CT TO THE REQUMEMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVMONMENTAL HEALTH DIVISION(EIM) POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EL�D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> ER <br /> GOVNMENT CODE AND THE EVIDENCE CODE. n' <br /> 1. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS CARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDUL:ID <br /> MONDAY THRU FRID Y EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. T014:30 <br /> P.M. . <br /> 2. A PUBLIC REC RDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WELL BE RETURNED TO THE APPLICANT IF THE FILES/MCORD� ti BE <br /> NOT AVAM ABLE WITHIN THE CUSTODY OF THE END. <br /> 3. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIE'*jEE ' <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOg TO REVIEWING THE <br /> DOCUMENT(S). <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL,BE <br /> aJ CORRECTED BY THE :IIID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> �7)J SERVICE WILL BE BLLLED TO THE APPLICANT FOR PAYMENT. <br /> S. ORIGINAL FUBPC FILES/RECORDS SHALL NOT BE REMOVED FROM THE ERD PR; MISES. <br /> SIGNATURE OF APPLICANT DATE 6 .30 <br /> SIGNATURE OF RELEA SING OFFTCI J ^ `'s DATE <br /> FH 00 14 (REV 10/92) <br /> t ' d �c : tt 2610clot woaj <br />