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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT lFt-k4, Moff s 00VLt-i PHONE NOL:�ccf RSI, - 3(, <br /> ADDRESS <br /> AGENCY NAME d4clr� �ervi(ts PHONE NO�z0q)9sl= pyy <br /> ADDRESS ISO,!) Lvvyllo' fh (cane, Idle A SAoC/} jS}U'7 <br /> E H ADDRESS LFAs AGENCY DATE <br /> 5tva V5 N� xrt� -1043 1 Iftirfan lZcl�+rYticl� Cf *� ST P11sf Fm(2 <br /> Rlccr rut - Yll.4 2Cue1 Crrricll C lr <br /> Ic'Y3w• S Icn 21 4 N' <br /> Grv...Ie (onctrucinon^10500 11d,ta» .1"YYr an <br /> IEQ <br /> 2535 wllct,c.r Live S-tvOctwl tt L'�"-� ` <br /> herr r nos 3th N L.J ).� Iitutktm� AQ—� <br /> SAN k1A01!IN + i,+;•..�-•, <br /> tr• X) d Cress - i139 Lcrncr Ilvi ve . Sto( �-�-�- , <br /> 7Lnr 17hb A t'cy t� - �82b TeerP� S PUBLIC Hc. •,, uN <br /> /IROP. <br /> f}ut0 Mies ier 5 -Te egee V--tpyl <br /> &'Qpn4tz7 - 350o LOA-lerloc, i&I StaLi2 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (END) 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 FILESIRECORDS 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 BE 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 /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE 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 EHD PREMISES. <br /> SIGNATURE OF APPLICANT 0aU ril✓^ DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />