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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION 1 J C <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT _outl- PHONE N069/d G <br /> ADDRESS 3,23 : Sun v<5< 131✓ Sv �r 5 �crr�c�ia C_S--g a C4 C75 7q2 <br /> AGENCY NAME k IE NO--5a • a � ct'boY� <br /> ADDRESS <br /> X11 4Q�--AY-np CH <br /> FILE ADDRESS11 LEAD AGENCY DATE <br /> Eq- S �-- LDU! 5elrUc <br /> IOb Sou <br /> Ez? I- Lauf 5 c— <br /> `/) <br /> 5� 365 E-Q L.Du(sc Air <br /> THIS 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 DyfCS^tIILE <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FIL � <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. E1VED <br /> .1111 1 2 %RS <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAJA <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOlLIhGH <br /> DOCUMENT(S). ENVIRONMENTAL HEALTH DIVISION <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED TTY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDI`T'IONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT Zl 7 DATE -7 -7 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> b EH 00 14 (REV 12/92) <br />