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''7'd �C101 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> KN`VIRONAb .TAI HEAL"H DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT <br /> ADDRESS PHONE NO �'�-- ? <br /> AGENCY NAME PHONE NO <br /> ADDRESS.17l(> vy)c�i Yl <7f _ <br /> FILE ADWE= AGENCY DATE <br /> rprn�,�it S <br /> 10 Fl bz►- <br /> -a%y F <br /> '41 RECEIV <br /> "13 L oc <br /> 6 1q <br /> a (;AN JQAQW <br /> co NTC <br /> J PUBLIC HEALTH SERVICV <br /> EAL <br /> THIS NOTICE IS SUWECT TO THE REQUMEMENTS. mEN7IFIED IN THE PUBtlC HEALTH <br /> SMVICES/ENVIRONMENTAL HEALTH DIVISION(Tal )POLICY M-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EFM FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE BVmENCE CODE. <br /> 1• A MAXIMUM OF TEN (Io) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FMES/RECORDS REVIEW ARE BY <br /> Z SENT ONLY. APPORVTMENTS ARE <br /> r� ARRANGED BY CALLING (209}46&-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY 7XP!j FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> A PUBLIC RECORDS KEI LSE APPLICATION AND A NON-REFUND BIS DEPO=0 ` <br /> NORTEWMED. DEPOSITS WILL. BE RETURNED TO THE APPLICANT IF THE FILES/RECORDf� <br /> AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> <• THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF TAE CHARGES ARE DUE AND PAYABLE£R10R TO REVIBWINO THE <br /> DOCUMENT(S).* 78/!u•-�ti c� tl� j�fi j1our. <br /> s• PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL,BE <br /> CORRECTED BY THE E1:ID STAFF AT THE EXPENSE OF THE AppUCANT. THIS ADDITIONAL <br /> SERVICE RILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> b• ORIGINAL PUBLIC R ESAMCORDS SHAM.NOT BE REMOVED FROM THE EHD pR.EMISES <br /> \i SIGNATURE OF APPLICANT � J DATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> Eft 00 14 (REV 12192) DATE <br /> s <br /> a'd 505�8�8T Ol 6lnX4 (799T.-) T-Fc+ <br />