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R SAN JOAQUIN COUNTY RFc MFNT <br /> PUBLIC HEALTH SERVICES a SAN OCT /`FO <br /> AL HEALTH DMSION <br /> PUBLIC <br /> RREC S RELEASE APPLICATION FNV/ '1 <br /> E'cou'v Y <br /> APPUCANT e. U J -ThorpPHONE NO (o2 551 -3d7 <br /> ADDRESS .354-/n1 ©au No {ZrT , rYkir{o Sfn C.l4 R53�7 <br /> AGENCY NAME {.L E _PHONE NO <br /> ADDRESS <br /> E LE ADDRESS LEAD AGENCY DATE <br /> Vanrta.rh1lE Circ�Q } Y11av kin <br /> 1199 upvt rh o-E Circl o.. hla n ra <br /> ` - aaal- h, l l Ci rr l a� VYlanle rra <br /> K 7hs p �- <br /> K. TKAn <br /> e - <br /> -767 mo <br /> . - Tv�du.�frial Pc,rK nr. ) rnr�n�rr., <br /> 1'YL2v�,l2rn�r'��u�{rial � r!' - '�Iii Tavlu��`rial f� 1J(' 1'Yln r�erq <br /> ('lkouron Neu) fly --t,94rs5 . YYI� .r� Sh. . Y111 nri�ern _ <br /> //v 5 <br /> ! THIS NOTICE IS SUBJECT To THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION"D)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EMD FEES AND SERVICE CHARGE RESOLUTIONS, STAT13 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 /> PUBLIC FILES/RECORDS NOT RE"TURNED 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 W,-)9/53 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> %9'd £65£i�SI n1 610?3�f IdHS£:IT £Ebt-?c!-ACJ <br />