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SAN JOAQUIN COUNTY _ <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT C;EAke�kCaA P�u� S(—TkJ\tom PHONE NO <br /> ADDRESS \803 W. Vlrl(Arc "Vle�Skif- A , Stoc�tsn, CaI F�v� n <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FIL=E ADDRESS LEAD AGENCY DATB <br /> IOS Tycluttr,ccl Pv1ckvc� Olavi cci Pws1I,14D <br /> 1103 ,smain Street, Mrntec4 pltS• tI0 <br /> \I63 S W)ctih Stwc-t, ManiCt4 pwf0r) <br /> I\"lo S. Whin StiectMmifecc, Pl+ <br /> 4o0 JvjtjrFncJ Pr,rlcDrive, WY4 kc-1 P�►S D <br /> IIsi Ucmdabil+ GKIcF M4rfe.cti PI+S rHD <br /> �nYM <br /> r,ar�iVED <br /> CO ICE's <br /> ySApj �IC HEALTH SER D VISION <br /> t-411lu <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENIAR IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(END)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E14D 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 /> 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 FILESIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <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 END 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 END PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />