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0 0 <br /> SAN JoAQuIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> KN-Vl'RONMFNT'AL HEALTH DIVISION <br /> PUBLIC REcoRDS RELEASE APPLICATION <br /> APPuCAN-r /�{, PRONE NO <br /> A.DDRI?S5 �.�. <br /> AGENCY NAME-T _ t •-1 �' PHONE NO Col- r-l 7, <br /> ADDRESS <br /> FILE ADDRM LEAD AGENCY D- <br /> Z 17 5-r AAM f 0►'��v �•' <br /> Yoti <br /> E,D <br /> 3 Q Gree fI r J SA <br /> -- - - LIC <br /> EIV HFe,r..CCLINT_� --- <br /> - --- NTgL RviCF.c <br /> THIS NOTICE IS SUWEG"T TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICIS/ENVlRONMEN'fA.L HEALTH DIVISION (EHD) POLICY #92-007.ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLLITIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OP TEN (10) PRENUSE ADDRESSES PER REQUEST. <br /> 2. pUBLIC FIL ES1RECORDS FFVJRW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-4):340. OFFICE HOURS FOR APPOIPmip-NTS ARF SCHEDULED <br /> MONDAY THRU FRIDAY EXCI.IJDFNG HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC REC OPO),; RELEASE APPLICATION AND A NONI-REBINI?A LE DF..POSIT OF $78.00 <br /> IS REQUIRED. DEPOSITS WTI-1 BE RETURNED To THE APPLICANT 1F TIMI~ rILES.RECORDS ARE <br /> NOT AVAILABLE WrFRI i I-HE CUSTODY OF THE IIID. <br /> 4. THE ABOVE IDENI'IF ED DEPOSIT IS APpLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THF CIIARGL'S ARE DUF AND PAYARI'E PRIOR To RLVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILF,SIR-FCORDS NQT P ETV[ jEl)IN T14E SWE CONDITION AS RFCFIVFT) WILL BE <br /> CORREMI) BY THE MID STAFF AT TNR M(PENSE OF THE APPLICANT. TFUS ADDITIONAL <br /> SERVICE. WILL III- BILLED TO THE APPL.I{:ANT FOR PAYMENT. <br /> 6. ORIGINAL PURI.IC FII.:FSrRFCC_►�V)S SHALL NOT BE REMOVE) 1~RON1 'TILE EHL) PREMISES. <br /> SIGNATURE OF APPLICANT--7 <br /> STC}NATUR.P_Or- RELEASIN: OPTICIAL DATE. <br /> EROC} 14 (RFV I2/92) �.-----------� —.�.� <br /> Tii __ <br />