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7-27-1995 11 :32AM FPOM AGE NC 209 950^ 0700- -- p <br />•.rrw , <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES W j `� 1C 4SLX:A'Z4un . <br />ENVIRONN ENTAL HEALTH DIVISIONP 1i-�bQ? >� �!,C 2 <br />PUBLIC RECORDS RELEASE APPLICATION 000 <br />i,u i 11ta ` 8 Q, 4a'(.e <br />APPLICANT �3avcs I� ( a, a_cMa.A_� �✓/ PHONE NO <br />ADDRESS (R o2 <br />AGENCY <br />ADDRESS <br />r ,gip. . <br />qo 3 u AC.. � s <br />`P ff;:L µ LI <br />r � � <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVTCESIFNVIRONMENTAL HEALTH DIVISION (EHD) POLICY 4'92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD EEFS AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />L. A MAXIMUM OF TEN (I0) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FILESIRECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br />ARRANGED BY CALLING (209)168-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br />MONDAY T14RU 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 RPISASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78.00 <br />IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FIL.ESIRECORDS ARE <br />NOT AVAILABLE Wf1iLIN THE CUSTODY OF THE EKD. <br />4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br />CIIARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br />DOCUMENT(S). <br />S. 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 APPUCANT FOR PAYMENT. <br />6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE MID PREMISES <br />SIGNATURE OF APPLICANT DATE "I -Z7_ g <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />EEL 00 14 (REV 12192) <br />