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• Q 6pr ior� <br /> D (i SAN OA Unv COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION r I <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT—na jh L, 'R td PHONE NO(g1& )f&4-2200 <br /> ADDRESS- IZ-1 a c� saa-aw n • OA- ff31� <br /> AGENCY NAME X�razar� ti- Enr.v e PHONE NO SAtme <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DAT$ ^ <br /> Ila?�`f , Channel 6t. �CZI L(3 <br /> ('7LM >_ . Olin ring <br /> 3t�3 . Al- IP;l quaff e�t . <br /> - 742 n/• Il/ev d, <br /> -130 M. w1I (EVEN ONLY <br /> — (n(k? - �36 N. E1��,T CEVEN ON LY� —��— ..;•� <br /> THIS NOTICE IS SUBJECT TO T 4B REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(HHD)POLICY M92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, HHD 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 /> �b <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 PRI 4B TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TTM EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL ' <br /> SERVICE WILL BE BILI HD TO THE APPLICANT FOR PAYMENT, <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE IIID PREMISES. <br /> SIGNATURE OF APPLICANT / DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE z <br /> EH 00 14 (REV 12/92) # <br />