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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT /(yD!/ GS. /A/c�PHONE NO dZ4 <br /> ADDRESS 1,60 /Al f}<'l 4f17V3�, 9S 7 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESSLEA!? AGENCY DATE <br /> ii 6. q (rziyAu.cyG72orVtRs'1 <br /> ID 3 At E '/ S a�/NJ <br /> �CA2iGleLirr�- /f�!e� <br /> C//0 N. rlu3C9-T ST• DEL AwArgI> <br /> /O llEZT 5" 49iii DSS <br /> A91O U-S• G,� A)r sT 65L,0,44 jr <br /> Zo o e. ("f"04 yr <br /> Zo90 E. l 'aZ ') 3 <br /> 7/S0 C • rr2,tW A.7-S Z Cr- sx�l e7E <br /> ZI d's �. FA�7L1LJUT 5% �$E?�Lo/0 tt`¢9�F) ENVJR9PMR4;,gt-}{EALTH <br /> PERMIT/SERVICES <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 FILES/RECORDS 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 PILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 0 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />