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.!-<L"IJJ! O: •VVrr•r r�r„v- i,� aw ..w .� • . f <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALUI SERVICES V7 - 0-,-? .a- <br /> ENVIRONMENTAL <br /> Q ,-? .aENVIRONMENTAL HEALTH DIVISION <br /> AJJ /PUBLIC RECORDS RELEASE APPLICATION �" <br /> APPLICANT W) //lam S/ YAG PHONE NO ?7Y^02W <br /> ADDRESS / <br /> AGENCY NAME ONE NO <br /> ADDRESS Sfza K#.. sAr.�-s�susrla <br /> F1LB ADDRESS LEACLA DATA <br /> 40D N n RhW --�/ <br /> /710 R <br /> w <br /> s � .QZD S /-/yypFlT:ion Com¢ K — <br /> 5 <br /> THIS NO-11C13 IS SUIIIFCT TO THE REQUIREMENT'S IVENTIFIED IN T11E PUBLIC LIEA1:TH <br /> SERVICES/FN VIR ON N9 EN"1'AL HEALTH DIVISION(Fill))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 MAICIMUNI OF TF14 (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PiIBLIC I II.FSIRECORDS REVIEW ARE BY A PO NTNfFjJT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE (TOURS FOR APPOINTMENTS ARE SCIIL-DUI_ED <br /> MONDAY TIIRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. 'TO I2:00 NOON AND I:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RFLEASL' APPLICATION AND A NON-REf'LI NDAIIIA DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL HE RF"TURNED TO THE APPLICANT IF 1191• FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN TEEB CUSTODY OF T14H EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS "I'HE TOTAL FILE REVIEW FEE <br /> CHARGE. 179E BALANCE OFTHE CHARGES ARE DUE AND PAYABLE 'R} TOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORREC.-M.1) BY THE EHD STAFF AT TIIE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR.PAYMENT. <br /> 6. ORIGINAL PUBLIC PIISSlRL•CORDS SHALL NOT BE RENIOVED FROM THE MID PREMISES. <br /> SIGNATURE OF APPLICANT GC, DATE <br /> SIGNATURE OF RELEASING Of FEC! (d� DATE <br /> FIf 00 14 (REV 12/92) <br />