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P1e_ L -P-d LL+e-� � - - SAN JOAQu>rCOUNTYP �1dF F 0 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONT7ENTAL HEALTH DIVISION - <br /> PUBLIC %ORFS RELEASF� APPLICATION <br /> uzavxnt He.videxson "!7 / <br /> APPLICANT 2 iron6lPHONE NO <br /> ADDRESS UD05 1 LOLL SI + CA 9SQ0 5 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> Cil\ s-oCILt-or\ Ur\l2ss rwy-o <br /> FILB ADDRESS LEAD AGENCY DATE <br /> r Y ' <br /> Sas E. � <br /> 3333 N•Wa5Tl a ✓� 0 <br /> a D rl`e I ✓1 <br /> t ;Zr7 E - n <br /> roa Lia V <br /> 1011 a <br /> rlA .9 . OPULoPy ST. rr)b r.oln o 010 <br /> 2,� 1 rO . UrytoPU sT- l� <br /> THJS 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 MA)OMUM OF TEN (10) PRENUSE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE 14CURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.R.L. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS RILL 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 1N THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE E1D STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPIICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE �� 9 <br /> SIGNATURE OF RELEASING OFFICIAL �' ^�1. L 1, h DATE <br /> .-., .... . ,n ry ,-:n,i <br />