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/rL-y�-IO�I--.J: ICT •i "'rro:i' 'vtra v...�n•-��w..•�,...w�,:w .w�-.-�.". <br /> 97 - a.&G .' <br /> SAN JOAQUIN COUNTY 0-k L, }r'aQeJ2 y <br /> PUBLIC R:EALr.a SERVICES <br /> YN-VIROh':tlY-\"TEAL HEALTH DTVI.SION Z�Z <br /> P'U)3LIC RECORDS RELEASE .ILPFLICATION <br /> APPLzcArrr�1 uc S L lert�ecsor. PHONE NO (209) �i v7 f 00 o r' <br /> ff ADDRESS / r <br /> AGENCY NAME PRONE NO <br /> ADDRESS %scn ltJi.i f�+� t'f Lea 9SO S 'a <br /> s <br /> ELLS ADDRESS II ZAD A \ Y DAT$ <br /> J'Z�{�Wast' La.,t 1�5-EHD <br /> -1005 Al &)e5f<auF; <br /> 3807 Cotwatda Aar•. <br /> gy! 4..1a5f <br /> 913 Wgsf Lane <br /> x <br /> t. <br /> THIS NOTICE- iS SliB1ECT TO THE Ri!�UIRE.MF-NTS IDENTIFIED 1N TNG PUBLIC HEALTH <br /> SiERVICFS/ENVIRON.IENTAt X.EALTH DIV.sj0N (EHD)POLICY#92-007, ORDINANCE CODE OF SAN _ <br /> JOAQUIN COUNTY, Ell) FEES AND SERNTCE CHARGE RESOLUTIONS, STATE NATER CODE. <br /> GOV ERNMENT CODE AND T=E EVIDENCE CODE, <br /> 1. A MA )MIUM OP TEN' (10) PR.EmlSE ADDRESSES PER REQUEST. `= <br /> 2. PUBLIC FILFSl'R1CC:RDS REVIEW ARE BY APPOIVTIENC O'LY" APPOINTIArNTS ARE <br /> ARRANGE)? BY CAI LING (:02)4,68-0310. PA <br /> d3-03-0. CCE HOURS FOR APPOtNT7ENTS ARE SCHEDULEDA '. <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, $:00 A.JI..TO 12:00 NOON AND I:OO P.M. TO 4:.0 <br /> A PUSLC RECORDS .RELEASE APPLICATION AND A \ 1' <br /> O -RFI`U\DABLE DL•POSIT OF S78.00 ' <br /> IS REQUIRED. D1:POSlTS 'W-L' BE F-FIV:NED TO THE APPLICANT IF THE FILES/RECORDS ARE _ <br /> NOT AVAILABLE M114M THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDE•NTIF:ED DF?OSIT 15 APPLJI:D TOWARDS THE TOTAL FII-E REVIEW FEE *_ <br /> - (-HARGE. THE B:aL1NCE O: THE CHARGES ARE DUE AND PAYABLE FR1OIt TO REVIG-WING THE <br /> ' DOCUAIP.NT(5). <br /> 5. PUBLIC FILESIRECOR.OS NOT REnIRNCD IN THE S.4.�SE CO\DIT10N AS RECEIVED W]LL BE <br /> CORRECTED BY THB 04D STAFF AT'THE EXPENSE OF THE APPLICANT. THIS ADDITLONAL <br /> SERVICE WILL BE 9111 ED TO THH APPLICANT FOR PAYMENT. <br /> 5. ORIGINAL FUBLIC Fi11;rimECORDS SHALL NOT EE REMOVED FROM THI- EHD FI MISES. <br /> SiGNAT'URE OF APPI1CAh'T - BATH <br /> SIGNATURE OF RELEASING OFFICI, DATE <br /> Pi 00 14 (REV 12!92) <br />