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SAN JOAQUIN COUNTY • �� ,r <br /> PUBLIC HEALTH SERVICES = ' <br /> 1993 ENVIRONMENTAL IIEALTH DIVISION J <br /> MRCHT�JF PUBLIC RECORDS RELEASE APPLICATION <br /> IrrJr���LII�E,Af.rH <br /> �rnMiriAPPLICANT LV &-^-M &-* on=c6e- PHONE NO (Trv ) cl8y- 02_L0 <br /> ADDRESS Sfg "? SrJ.VOL- nc.vc.> P�/t�► lA�uTo�v� G,� 9yl'GG <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> S`0 3 /0IL4 5771_00__' <br /> 7 A c- <br /> o <br /> o S77tNF_ <br /> Z' "le .< l.' 7-p F-'o.yy a L"T o&tTA-!L J ung r7 R t%Ati217so <br /> L� A& A. <br /> QC [ s977! o TL DurL ?ah j , "Cui� <br /> Seoo E . 1/ tnsr.- r ,7-r" c , C-A <br /> C of✓r�r �vAf+ua. �iFy�zc alLov�D�. �► nr .� ch' v,_c (rtAo��r✓>r 1f= 7L. <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)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 /> I. 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 FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> RA �r,u VA ")gAIc, <br /> A SIGNATURE OF RELEASING OFFICIAL DATE <br /> �;� I EH 00 14 (REV 12/92) <br />