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'9'd 1B101 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVMONMFNTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APFLICANTLY�Y'CI s✓ trY 0 be PHONE NO <br /> _L -� <br /> ADDRESS <br /> AGENCY NAME�. PHONE NO <br /> ADDRESS_jjI( VYlc�iYl `if Scc�ov� <br /> FILE ADDRFS� LEAD AGENCY PATS <br /> C. FrPPOonl 5'f. EHS�EI f -19-9 <br /> pn'wrtt Sl <br /> -1911 Fr ' er-tt- tV• — <br /> 1�D Al. F;Ib�r <br /> L,Z50 Al. &Ji'Lsc)ot� E <br /> 4L Se NevadaV <br /> 73� vt" _ 6 1993 1 <br /> ✓a <br /> � CO NTY <br /> PUBLIC HEALTH SEHVIG WAN <br /> tINVIRUMVIETITArNEAL11 <br /> T7-n9 NOTICE IS SUBJECT TO THE REQUIREMEN7M TDENTU71ED IN THE PUBLIC REALTPI <br /> SERVICESJENVIRONMENTAL HEALTH DIVISION(FAD)POLICY#92-007, ORDINA.'dCfi CODE OP SAN <br /> JOAQMN COUNTY, EHD FEFs AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (IO) PRENUSE ADDRESSES PER REQUEST. <br /> 2• PUBLIC FM S/RECORDS REVIEW ARE BY AEEMMENT ONLY. APPOINTMENTS ARE <br /> r� ARRANGED BY CALLING (109)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> 1 MONDAY TTL?CJ "MAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 1200 NOON AND I:00 P.M. To 4.30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUND .E DEPOSIT O <br /> IS REQUIRED. DEPOSITS WILL, BE RETURNED TO THE APPLICANT IF TR <br /> B FILES <br /> /RECORDS <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 MO g TO REVIEWING THE <br /> DOCUMENT(S). 78/A�'-L <br /> 5 PUBLIC FTLESMECORDS NOT RETURNED IN THE SAME CONDTDON AS RECEIVED WILL BE <br /> CORRECTED BY THE ELD STAFF AT THE EXPENSE OF THE APPLICAN THIS ADDITIONAL <br /> SERVICE WILL BE BMI.ED TO THE APPLICANT FOR PAYMENT. <br /> 6• ORIGINAL PUBLIC FU t4/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT ? / Y�/l L� t I� DATE In <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FEL 00 14 (REV 12/92) <br /> %a'd 595£8£9T 01 wn>44 wHPb-rA cccT-) T-PS <br />