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ze'd 7ui0l <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT_vy-�n v'c' Y`(1 C b e` PHONE NO <br /> ADDRESS_ I-lio <br /> AGENCY NAME S =�- PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> PAYMENT <br /> RECEIVEQ <br /> JA�L 9 8 1994 <br /> OUNTY <br /> PUBLIC HEALTH SERVI ' <br /> ENVIRONMENTAL HEALTH DIVISION <br /> THI9 NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTI FD IN THE pU1311C HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DMSION(FAD)POLICY#92-007, ORDWANCE CODE OF SAN <br /> JOAQUIN COUNTY, ETD FEES AND SERVICE CHARGE T' 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 FILES/RECORDS REVIEW ARE BY AGENT ONLY. APPORrTMENTS ARE <br /> O� ARRANGED BY CALLING (209)4b8-0340. 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 />µ- P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT O <br /> IS REQUIRED. DEPOSITS WILL, BE RETURNED TO TRE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WMUN THE CUSTODY OF THE EHD. <br /> J <br /> 4. THE ABOVE IDENTIFIED DEPOSTT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF TAE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> s DOCUMENTS).�t78-/f" 2 Q t /Sfi lour. <br /> S. PUBLIC FILES/RECORDS NOT PSTURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EI-I.D 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 �' Gl �; L_° / <br /> DATE � y <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> 7Gi',el �gf"r•'ar•QT n l I rn•i i i n int..�n rte!'+ I T ^� <br />