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eD:Ierr r-Kum TO 19169293341 P.02 <br /> SAN JOAQUIN COUNTY • <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEAL'T'H DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION _. <br /> APPLICANT L;5 fj. :w fNCc1v *S ,,,aJE PHONE NO 914, 92P-337s � <br /> tuDWruno.)=4AlernlIJd Sacra lr 0,4 9sP <br /> AGIINCY NAML' ai e --- ' p$ONB NO <br /> ADDRESS <br /> ELLE USD AGENCY DATE <br /> arab N""1 b�,� �►sa� <br /> EI�--- <br /> rva ob EIVED <br /> 9211 Ngyv Dr �t lol� <br /> F�O 2.1993 <br /> � �^ f°L.�fI� 95d�3 ¢a � ina�UlNCniirvty <br /> aa —1L45�n�n r� QS Io PUBLIC HEALTH SERVICES <br /> E1V— <br /> THIS NOTICE IS SUWECT TO THE REQUIREMENTS IDENTIFIED IN THS PUBLIC HEALTH <br /> SERVICES/ENV[RONMENTAL HEALTH DIVISION(EHD)POLICY#92.007,ORDINANCE CODS OF SAN <br /> IOAQUIN COUNTY, EHD FEES 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. PUB11C FILES/RECORDS REVIEW ARE BY APPOINTMENT _O Y, APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)46g-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 F:M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A gON-REFUNDARt i DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FUM/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4, TH$ ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALONCE OF THE CHARGES ARE DUE AND PAYABLE 2"0 TO REVIEWING Tyr <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE AppUCANT, 1ES ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE BUD PREMISES. <br /> �l <br /> SIGNATURE OF APPLICANT Q <br /> • DATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 I4 (REV 12/92) DATE <br /> i <br />