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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT aouti JTeL e.a PHONE N(X 9 G 3 I - `l f 2�- <br /> ADDRESS C�yq'Cvc C,417,5 7q2-- <br /> AGENCY NAME PHONE NO sem� a Q bav-c. <br /> ADDRESS <br /> FILE ADDRESS t LEAD AGENCY DATE <br /> l� rj O� EGL S } LDUI SfflUc <br /> z� I -1 l Ob Sou . �{cvrlcLh �� <br /> IS�0O Sov+t" NoW Iceh R.-/ <br /> 5� 3�5 �- Litersc leu C <br /> -F,c,✓ eL� a � c <br /> A � 5rzrl�. �a�,rlcLn <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(ERD)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, 5:00 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-REFUNDABLED�&"or <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE F <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> ED <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOT p�f1� <br /> was <br /> 11 12 <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOlE fly <br /> DOCUMENT(S). ENVIRONMENTAL HEALTH DIVISION <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 -7- 7 -q 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> b EH 00 14 (REV 12/92) <br />