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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES duo <13/ <br /> ENVIRONMENTAL HEALTH DIVISION .- <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT � yC, Ntct h n LC— PHONE NO <br /> ADDRESS <br /> AGENCY NAMEl PHONE NO <br /> ADDRESS 7�z5 C. My c S �5�D5 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> u to E <br /> 1gr, <br /> SS5 w, Y05ef�e / usr Loun-h-, t�-7-1? L- <br /> cJ - h1QC1 <br /> C207)-W, Ymem( / uST <br /> _12 7 w . 1 UZ wac- <br /> 17r) MF- l/y6l() (6, ti <br /> _ZLSD W. YoSe,,,F- arc , ic/ST ell . <br /> pp pp r <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION(EHD)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 /> 1. A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST'. <br /> 2. PUBLIC FII.ES/RECORDS REVIEW ARE BY APPOINTMENT 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-REFUNDABLE DEPOSIT OF$78.00 <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 PRIOR TO REVIEWING THE <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 APPLICANT. THIS 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 <br /> DATE L' ]—'�7J L{ <br /> SIGNATURE OF RELEASING OFFICIAL DATE , <br /> EH 0,0 14 (REV 12/92) . <br /> O ' - <br />