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za•d Ketol <br /> • SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVIC <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT mllr`x0 PHONE NO R2'8-zS07 <br /> ADDRESS i:Z 10 rnn yj st , Ex�Qo,) CA- <br /> AGENCY NAME QES�/ q �dus�r 2� PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> ��3 I�,leberq p� 0 1�thrn t'• <br /> Toa o u..,ri �n <br /> L 1 IS. con1s 5- - C , 4d <br /> .1149 UI. \n(Phor A„o.- �.S orngD <br /> - u <br /> cu: f i <br /> lag SE -f K'o ron -4t=9-61957 <br /> nl0,!er FNe —S T BovyrncZ <br /> Li'lr'pin if <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC REAL-M <br /> SERVICESIENVIRONMENTAL HEALTH DMS10N(ERD)POLICY#92.007, ORDINANCE CODE OF SAN <br /> JOAQVIN COUNTY, EHD PEPS 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 FME",ECORDS REVIEW ARE BY REQMMdENT ONLY. APPOINTMENTS ARE <br /> p ARRANGED BY CALLING PM46&M40. OFFICE HOURS FOR APPOINTMFMS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 9.•00 A.M.TO 12:00 NOON AND 1.•00 P.M. TO 4:30 " <br /> i. +� P.M. <br /> J. A PUBLIC RECORDS RELFaSE APPLICATION AND A NON-REEJNpAp a DEPOSIT OR <br /> a iS REQUIRED. DEPOSM WIIL BE RM-URNED TO THE APPLICANT IF TRE FIIFS/RECOR- - 7CRE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THS EHD. <br /> J <br /> 4• THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF TRE CHARGES ARE DUE AND PAYABLE MO K TO P.EvIEWrN TFIE <br /> DOCUMENT(S). 7F//uti.t m� tip r-r hour. <br /> h , <br /> N <br /> CORRECTED BYPUBLIC FILES/RECORDS EHD STAFF NOT RETURNED <br /> CONDMON <br /> THE EXPENSE OF THE APPLICANT. RECEIVED WILL BE ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESMECORDS SHALL NOT BE REMOVED FROM THE MM PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL, <br /> EH 00 14 (REV 12/421 DATE <br /> z0'd 60922EST of WIIN-4 WHP17-PGI <br />