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i <br /> M <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> KKVERONMtNrAL fMALTn DIVISION <br /> , PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANI'/ g hl�g%I PHONE NO <0 2 5--_/'7 <br /> A.DDRESS2- 57?,/ 1/ e s v,'��<,�g_ C,, <br /> AGENCY NAMET�,,;N� ,res PHONE NO <br /> ADDRESS <br /> P ADDRBS LEAD AGENCY DAT' <br /> 7 Sf A uht�orc�_/ _2 <br /> yo;?-6PA i <br /> O Gree tJr. SA �9 I) <br /> 3 6 Eiv LIC CpUN.901 - -- <br /> T <br /> -fwtfvTARVICEs -- -- <br /> DIVISION <br /> THIS NOTICE IS SUBJECT TO THE REQMI PMENTS IDENTIFIED IN T14B PUBLIC 14FALTH <br /> SlERVICES/ENVIRONMENTA.L HEALTH DIVISION(ERD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUN'T'Y, EHD FRES AND SERVICE CHARGE RESOI-tMONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND lHR EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS RFV1EW ARE BY APPOINTMENT ONLY, APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOIAZMIF-Nt"S ARP- SCHEDULED <br /> MONDAY THRU FRIDAY EXCIXI)I*iG 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 NOIR'-REFUNDABLE.DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS 'WT[.1., BE RM IRNED TO THE APPLICANr IF THE FIIILES,RECORAS ARE <br /> NOT AVAILABLE Wn MN THE CUSTODY OF THE M-1b. <br /> 4. THE ABOVE IDENFI1;I.ED DEPOSIT IS APPLIED TOWARDS THE 'TO'T'AL FILE REIVIEa% ME <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUI; AND PAYABLE PRITO REVIEWING THE <br /> DOCUMENT(S). <br /> S.- PUBLIC FILES/RECORDS NUT PTTURNED IN THE SAME CONDITION AS RKEIVED WILL BE <br /> CORIM= BY THE MID STA..FT AT 'INP. .MPP.NSE OF THE APPUCANT. TIES ADDITIONAL <br /> SERVICE WILL LIE. PILLED TO TME APPLICANT FOR PAYMENT. <br /> M 6. ORIGINAL PU131 TC F11Y.SiRECOADS SHALL NOT III- REMOVED FRONT *Mt END PREMISES. <br /> SIGNATURE OF A.PPI_.IC,1N V _ _-__ - - -- — DATE �LZIq <br /> SIGNATURE OF RELEASING OM, CI,a L DATE <br /> EH 00 14 (REV 12/92) ---�-- --- -� <br /> TI/TNI P-0-, <br />