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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVUt0NMLNTAL nEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT {�e,i I Li l i r r ))�- PHONE NO�90O 5S f - <br /> ADDRESS �. t �. i , 04 S <br /> AGENCY NAME r £ E PHONE NO 4C]1Ylt _ <br /> ADDRESS <br /> EME ADDRESS LEAD AGENCY DATE <br /> ;� �7 S . �,lr1COjY7 �„(,'t_ t-c�1�'Gt✓.'l r <br /> J.3ti9 N, ))Intrl ,S - -- _ f 7J <br /> SIU /V . Wjld M , = hJ rnI >ra.kS StC. <br /> 70 <br /> /V, <br /> It Of )Pei 1<1 ^/D k-) <br /> IYI'*� r'1 .S` 4}1 !-" ;) 1 a til') tsc; rpr1 �GY <br /> � ,; r 5 • IiLaIrn S � i I � ,vY: � ,� rl Lumhor' <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SIRVICES/ENVIRONMENTALHEALTH DIVISION(EHD)POI1CY#92-007,ORDINANCBCODE OF SAN <br /> JOAQUIN COUNTY, EHD PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, . <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESIRECORDS REVIEW ARE BY APPOINThifiNT 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-REFUNDAgIBDEPOSII`OF S78.00w1 7" <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 Pte$TO REVIEWING T{IE <br /> DOCLTM&NT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE IIID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL •_ <br /> SERVICE WILL BE BU-IED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT r ' _ DATT? <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EN 00 14 (REV 12/92) <br /> =�'d £6S£TSST OL W08=j WHS£:TT £66T-92-89 <br />