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SAN JOAQUIN COUNTY VICES <br /> �1BLIC <br /> HEALTH SER <br /> ENVLdONMFNTAL HEALTH DIVISION• <br /> P LIC RECORDS RELEASE APPLICATION// <br /> APPLICANT -TEIf%rER'l Z —IRW PHONE N0(116)366 -/7Q/ <br /> ADDRESS 'Sn7 ? C'rcle S4crawleh�o C-A '1.5F2.2- <br /> AGENCY NAME I e 2 PHONE NO C�,4 ac Aha JC- <br /> ADDRESS e -S J <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 5-a98 f-U6I � sc _ c--No <br /> Soo f. Z,ihrop CD 0NC <br /> fn✓2 lace. QD ! q �I.JIC <br /> / Z OO I S. N iG w,,'_L.�._ S�TC14 7 <br /> o P' ST %/r7 <br /> 4 4 <br /> S Tc- <br /> _CTC <br /> rn . <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(F ID)POLICY 1192-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EI4D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. r, <br /> c � <br /> 1. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONT Y. APPOOMMNTScARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMEN'T'S ARE SCHEDTAM <br /> MONDAY THIRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. T014:3O <br /> P.M. <br /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFSTNDABI.E DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPO S WILL BE RETURNED TO THE APPLICANT IF THE FIL.ES/RECORD4,�RE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <br /> 3. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIE-*'�FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE =- <br /> DOCUMENT(S). <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN TIS SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE Hal-M TO THE APPLICANT FOR PAYMENT.S. ORIGINAL PUBLIC FaM/RECORDS SHALL NOT BE REMOVED FROM THE UM PREMISES. <br /> SIGNATURE OF APPLICANT DATE 030M <br /> SIGNATURE OF RELEASING OFFTCI J I - II^ DATE <br /> ER 00 14 (REV 10/92) <br /> I ' d LC : II 26/06/01 Wo,lj <br />