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11--15-1993 05.30PM FROM iu <br /> SAN JOA,QUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> E14V IRONM ENTAL HEALTH DIYLMION - <br /> PUBLIC RECORDS RELEASE APFLICATION _. <br /> ApPLiCANI' 5 �., yce,+� PHONE NO r91 Co Q2�_ -32-6 _ <br /> Q G ct C Qse Y <br /> ADDRESS /Ua qtr J I. TPH�ON$ O <br /> AGENCY NAM: — <br /> ADDRESS <br /> EM A.p� Cc,rr? LEAD AtCY } ►TB <br /> Qb haw <br /> M. <br /> E I V E D <br /> �{ 0 21993 <br /> G lAJ <br /> (J- CANIU N COLI NTY,�- <br /> �S o PUBLIC HEALTH SERVICES <br /> 'THIS NOTICE IS SUMCT TO THS REQUIREMENTS IDENTIFMD IN THE PUBLIC HEALTH <br /> SERVICES/EN,V RONMBNTAL HEALTH DP4SION(EHD)POLICY,s 007.MWINANCB CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RSSuLtMONS, S'T'ATE WATER CODE, <br /> pOVSRNMENT CODS AND THE EVIDENCE CODE, <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST'. <br /> 2. pUBIIC FILES/RFCORDS REVIEW ARE BY A . APPOIIVTME M ARE <br /> ARRAN(3BD BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLMAYS, 8:00 A.M. TO 12:00 NOON AND 1:570 P-M.TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A N:AEF'UNDABLF-DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FRZSMECOR.US ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE I HD. <br /> 4. THIS ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE, THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE MB TO REVIE'G►'ING THE <br /> DOCUMENT(S)- <br /> 5. PUBLIC FILESIRECORDS NOT RETU"F-D IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE ERD STAFF AT THE EXPENSE OF THB APPLICANT. THIS ADDi'I'fONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. OkIGINAL P'UBL r_PILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT � DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />