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SAN JOAQUIN COUNTY �- <br /> PUB11C HEALTH SERVICES <br /> ENVIRONMENTAL IIMALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 6:0 W,rIYIrZOr) PHONE NOrapQ� <br /> ADDRESS <br /> AGENCY NAME 0�affm PHONE NO 1 <br /> ADDRESS_Lj&)5- it Ar Y'4 liWkn g h�q!j, S77X'k'1-010 1 (2,4 9Sa 0.7 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> -rae (I)ST <br /> (i). 11J0 77YYrr �CUS/ /Y%3J71 ullf�Pr ) .` -_ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBUC HEAL77{ <br /> SERVICES/ENVFRONI.IENTAL HEALTH DIVISION (EHD) POUCY :92-007,ORD)NAI:CE CODE OF SAN <br /> JO AQUIN COUNTY, EHD FEES AND SER4ICE CHARGE RESOLUTIONS, STATE NATUR CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PRETUSE ADDRESSES PER REQUEST. <br /> 2- PUBLIC FILFSIRFCORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMEI17S 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 NgN-REFUNDABLE- DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RE-CORDS 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 /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF T14B APPLICANT. 71{IS ADDITIONAL <br /> SERVICE WILL BE BILK TO THE APPLICANT FOR PAYMENT. - <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REN40V ED FROM THE 04D PREI•USFS- <br /> SIGNATURE OF APPLICANT /2-R L �-�( DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />