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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS-RELEASE; APPLICATION <br /> �rY �' c� bfl <br /> AF'Px.ICAN'k'_���.�� PHONE NC3 <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS 111r) M cat a <br /> F�IRB_ADDRESSlj= AGBNCY per, <br /> S �o�I4-43 <br /> S E <br /> FilbgL <br /> E AT <br /> 3OCT 2 6 f. <br /> CO NTY <br /> L �17 PUBLIC HEALTH S <br /> • �NVIKuwrlqlAt EAS <br /> THIS Nomm Is StTWECT TD THE REQUaMfENTS. IDfiNTINED IN THE VUBLIC RFALTH <br /> SERVICESI DMKONMENTALHEALTH DIVISION(FAD)POLICY m-w7,DRDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EFID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. i <br /> GOVERNMENT CODE AND THE BVIDENCE-CODE, �kk <br /> r 1: A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. f <br /> 2. PUBLIC FILE ,ECORDS REVIEW ARE 'BY APPOINTMENTS ARE <br /> ARRANUED BY CALLING.(209}46&0340. OFFICE HOURS FOR APPOINTMENTS.ARE SCHEDULED <br /> MONDAY THRU PRIDAY EXCLUpINC;HOLLDAYS, 8:00 A.M.TO 12:00 NOON AND I:00 P.M. TO 430 <br /> P.M. <br /> 3• A PUBLIC RECORDS RELE;kSE APPLICATION ANDA N-ON-REEM DEPOSIT o <br /> IS REQUIRED. .DEPOSITS WILL. BE RETURNED TO THS APPLICANT IF TRE MLES/RECORDS E <br /> NOT AVAILABLE WTMN THE CUSTODY.OF THE EHD. <br /> 4. THE ABOVE. IDENITFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> ' CHARGE. THE BALANCE OF THE CHARGES ARE DUE.AND PAYABLE UjQg TO RE EwrN0 Tkm <br /> DOCUMENTS)*78/fi.cu�ti a �Ti -kc_ rt h-ur. <br /> S• <br /> PUBLIC PILESlRfiCORDS NOT RETURNED IN THE SAME CONDTI ION AS RECEIVED WILL Et <br /> CORRECTED BY THE EFID STAPF AT THE EXPENSE OF THE APPLICANT, -THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6• ORIGINAL PUBLIC FILE.MCORDS SHALL NOT BE REMOVED FROM THE EHD PRfiMISES. <br /> \ SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DAA f <br /> FV 00 14 (REV 17/92) <br /> s� <br /> F � 5 <br /> 70'd 01 LIf1Tt-i l.Rp b��Gi t��T-1.T-G" <br />