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6—E6-1997 5: 1 /NM Fk�K�it rv�. LGA � k„�., • ` �/ ��,; <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES y <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Ke Ji Jr Mc-Kr bb+n PHONE NO <br /> ADDRESS <br /> AGENCY NAMEMvcvicA ayivone'++Klu PHONHNO <br /> ADDRESS 1-502 W/ Marc Ln SL< A ;?ern <br /> RLE ADDRESS LFen AGENCY DATE <br /> fits- 15N ) 27 SV 9k- <br /> 3310 <br /> k- <br /> 331t7 <br /> 3k17. M <br /> 3z�1 Wsrid9e.r 1�y'q _ <br /> —3�h' 1; _ fl, r b <br /> 11 0 <br /> M. Fi l •r C s ry _ 5 a 4 L2 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(Fl4D)POLICY#92-007,ORDINANCE CODF OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE 'NATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PRFDIISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILFS/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, 9:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.Df. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <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 /> 5. ,Arw-PUBLIC F1LEVRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPE!4SE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THA APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FIT ES/a FCORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT �GliLt DATE 6 7 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Eli 00 14 MEV 12/92) <br />