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S-30-199S 11 :dBAM FRINGE NC 209 956 0700 • P. 2 <br /> SAN JOAQUIN COUNTY , / 13 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMEWAL HEALTH DIVISION <br /> //PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT t.() PHONE NO <br /> ADDRESS 733 sJ. ir�A�t,.r Cn1 5.,x .4 xca.l �szrJ <br /> AGENCY NAME -,9-ye t p -PHONE NO <br /> ADDRESS <br /> FII H ADDRESS LEAD AGENCY <br /> a <br /> ff r7/ 7 e <br /> llv,vai.,�.Lu. <br /> r'an d� <br /> —�— <br /> THUS NOTICE IS SUBJECT TO TLTE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY 942-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, RHD PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE <br /> I. A MAXWM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FEES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)469-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY 71MV FRIDAY EXCLUDING HOLIDAYS, 8.00 A.M. TO 17.00 NOON AND 1:00 P.M.TO 4:30 <br /> PAL. <br /> 3. A PUBLIC RECORDS RELEASE AFPLICATTON AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO TICS APPLICANT IF THE FEESIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE ERD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TO'T'AL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMHNTM. <br /> 5. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TAE EHD STAFF AT THE E)TENSE OF THE APPLICANT. THIS ADDITIONAL <br /> S12RVICE WILL BE 13MLED TO TIME APPLICANT FOR PAYMENT_ <br /> 6. ORIGINAL PUBLIC FILESIRECORLS SHALT.NOT BE REMOVED FROM THE EH D PREMISES. <br /> SIGNATURE OF APPLICANT j41A I,Z 9.CL'L7- DATE 9� <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> 2 <br /> 1 <br />