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i U iVlUl _ 0 SAN JOAQUIN COUNTY I'UI3LIC LiIP,ALTTI SERVICES ENVtRONmr..mrAL IIF.AL'IU DIVISION PUBLIC RECORDS RELEASE APPLICATIOrN l APPLICANT` PHONE NOI c�Oq) ,55 ) -Jr-:171 ADDRESS AGENCY NAMH'o It ti h ,, . ! <<_ _PHONE NO Sa4a Q__ ADDRESS r v nU Fla', i r YF10-, , + , , ; k v I II E ADDRESS LHM AGENCY l jY�[11i2Sf., - 1-lir1Ck / YGln:Ci r rrc(nK 's — xxorl . -7 -11 1. 2 D O0.K it-, C.� Iti, 0 1rYlCl✓L CGt U iG ��res THIS NOTICE Is SUBJECT TO THE REQUIREMENTS rofiNTUMD IN THE PUBLIC HEALTH SERVICBSIENVIRONMENTAL HEALTH DIVISION(EHD)POLICY A92-007,ORDINANCE CODE OF SAN JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, . GOVERNMENT CODE AND THE EVIDENCE CODE. I. A MAXIMUM OF T'FN (10) PREMISE ADDRESSES PER REQUEST. 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOLNTMhT1T ONLY. APPOINTMENTS ARE ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENT'S ARE SCHEDULED MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1,00 P.M.TO 4:30 P.M. 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NOHjWM ND HtR DEPOSIT OF 578,00,, IS REQUIP_=7. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF TIM FILEs4MCORDS ARE NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING TkM DOCUMENT(S). 1) 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDI'T'ION AS RECEIVED WILL BE CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. IMS ADDITIONAL SERVICE WILL BE BILLED TO THE APFUCANT FOR PAYMENT. . 6. ORIGINAL PUBLIC FILES/RECORIJS SHALL NOT BE REMOVED FROM T'HB EHD PRbMiSE3. SIGNATLRE OF APPLICANT �'j ,(.cT ? ! i, t DATE J /L SIGNATURE OF RELEASING OFFICIAL DATE ER 00 14 (REV 12/92) ;ffJ'd 26S2TSST n1. WOH-� WdS£:Tl 2661-9Z-80;