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11-08-1995 4: 18PM 174 AGE NC 209 956 0700 • <br /> P. 1 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT_ l imw "% i l0 ir PHONE NO 9 S (p- O Z 10y <br /> ADDRESS IS n'Ll u, . m A A Lff Leo+.F_ 57£ d4 <br /> AGENCY NAMEAQV,4NCLD Geo Ceviiee Viz: . HONE N[_l 9._GI_�n_7 <br /> ADDRESS <br /> FILE LEAD AGENCY DATE <br /> 4 D I -3 13 �S $q 1 s4n44. N.. I1 P145 - £'rt,? <br /> 1.00 --P1b-751 AIGloss c%c, AbL 401 .ay�y e o L. 5+04-L efwse. 1 -2—, <br /> Leol --J� "7lo I&) , 5QLA6 1p44!, PAY aC-p•— <br /> L.00 l '�► '3•� � CF1£RnKGf G1gnrC <br /> 4aa + 10IS C. I-oat AvIL n <br /> J-o�1 zal � • OaK 5+. ov <br /> — <br /> 6�01MIP 5, t3f(K.MA,v Ra 40, N�GAQUI e)l <br /> ENyiR.OUU HEALTH SERV <br /> NTA L LS-GN . <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 COD&.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$78.00 <br /> IS REQUIRED. DEPOSITS WILL BB RETURNED TO THE APPLICANT IF THE FILE$/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 /> S. 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 FILEWRECORDS SHAD„NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 11/-71 A S <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />