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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES • <br /> ENVIRONMENTAL IiEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT LEAH S. GOLDBERG PHONE NO (209) 948-8200 <br /> ADDR13SS P. 0. Box 2U—, Stockton, CA 95201-3020 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> I <br /> PII.B ADD1tESS 1,BAI) AC�SNCY DATE <br /> 1214 West Washington Street U.S. EPA ID #6AD009106527 4/27/93 <br /> Stockton, CA 95203 <br /> PAYMENT - <br /> RECEIVED <br /> - <br /> SAN JOADUIN CO�_ <br /> PUBLIC HEAD <br /> ENVIRONMENTAL HEALTH DIVISION <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (Mb)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD 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 FII�ES/RECORDS REVIEW ARE BY A_LQLNTMENT ON 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 /> S. PUBLIC FILES/RECORDS NOT RMVMED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE MID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILM/RECORDS SHALL NOT BE REMOVED FROM THE MID PREMISES. <br /> t SIGNATURE OF APPLICANT DATE <br /> C \l SIGNATURE OF RELEASING OFFICIAL, DATE <br /> 1\� EE 00 14 (REV 12/92) <br /> c0'd 0T6t'8VGT Ol Woad Wdt,2:TO £66T-LZ-ro <br />