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Aq Y <br /> • SAN JOAQUIN COUNTY • oRFcFM�HT <br /> PUBLIC HEALTH SERVICES Sq F <br /> PUENVIRONNEENTAL HEALTH DIVISION <br /> BLRECORDS RELEASE APPLICATION FryV ONMF�rg4 Ty Co <br /> Hfq RLIr <br /> APPUCANT e,U,I4 -Thnroe PHONE NO 009)551 -dal �ThOj�E l <br /> ADDRESS 3 Oakdb I o , � YY><,rl n s n Ci4 QS 3S7 <br /> AGENCY NAME_(,'r E �, PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> Wrumlra <br /> - - Vanda rini It Gi fcic Y11r an4ern, <br /> - l vldD,rh�It Ci <br /> ` - andl.rh�11-, (if-do' lem <br /> K• Tien-rv�-- <br /> e - -757 mo Mn AA AIP 1-n <br /> S ial <br /> YY�aw�eraS�>���'ria� +�r� - 5 7S T�n.lur�fii`ial LF C'. t'Y1., n�e�q <br /> THIS NOTICE IS SUBJECT To THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SFRVICES/ENVIRONMENTALHEALTH DIVISION(END)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 /> t. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST.. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CAVING (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 KION-REFUNDABLE DEPOSIT OF $78.00, <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT LF 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. TIME BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING TIME <br /> DOCUMENT(S). <br /> �• PUBLIC FILES/RECORDS NOT RE'IURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. TIES ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE R/as/9 <br /> J <br /> �6 SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> \� EO"d 26SETSST nj I,10�� I,IHS2:TT 2f:6T-9E-90 <br />