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i <br /> .r RECEIVED <br /> t SAN JOAQUIN COUNTY FU <br /> PUBLIC HEAL'T'H SERVICES ; :LU���L•(;�L L�}Q{ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Ly.6N-Ca' Ifa)nfelafe CorP0raf%0n-pH0NB NO 6,1f) 33`1:e(Z6'3 <br /> ADDRESS P.O. N ,r / 37 <br /> +� GA qsz Y/ rzT <br /> AGENCY NAME PHONE NO -sa® <br /> AI)DRESS <br /> i <br /> FTI R ADDRESS LBpD AGENCY DA18 <br /> 110E Turaei lZo� l.adi CA95zYo . Al! <br /> w. T-urn,v aad <br /> 1 w <br /> R CT ME12 <br /> MAR--4--W <br /> AN 1@!qW R `"TY <br /> - D1�BLIC uceiyu�cr�VtCES <br /> ENVIRONMENl'AL WEALTH DIVISION <br /> THIS NOTICB IS SUHIECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> lOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER coDE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM Op TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESlRECORDS REVIEW ARE BY APPOINTMENT ON Y. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OPFICE HOURS POR 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-REFUNDARI A DEPOSIT 0P S78.00, <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICAN�IF THE FILPS/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD, <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 15 APPLIED TOWARDS THE TOTAL FILE REVIEW M <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUB AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> s. PUBLIC FIL.E'SMECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED MILL BE <br /> CORRECTED BY TILE PHD STAFF AT THE EXPENSE OF THE APPLICANT. TMS AL3DIk7IGNAL . <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL FUBLIC PILfiS/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES <br /> SIGNATURE OF APPLICANT -DATEfr /� �Q�3 <br /> SIGNATURE OP RELEASING OFFICIAL DATE EFT 00 14 (REV 12/92) <br /> t 'd 9Z OI E6i80i20 4load <br />