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SAN JOAQUIN COUNT r ,� <br /> e PUBLIC HEALTH[ SERYICr.S <br /> ENVIRONMENTAL REAL'IU DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> .�// 'Yu:•r i�;k'-��..�..2. � � �•d+�9,: -y - - - <br /> APPuc.Arrr fCQ,�( 1 PHONE Noa09�SS! -aa7l r. <br /> ADDRESS <br /> AGENCY NAMEng, PHONE <br /> NO <br /> ADDRESS <br /> E[LI$ AbDRBSSLEAD AGEINCY <br /> c ;. <br /> ! <br /> 14 Kowa <br /> _ <br /> g..; <br /> F <br /> 4 <br /> r <br /> �S ! S . 01-afri - l 1�M�nr� LLa_mhP f- <br /> _S. Kp � �✓t St. f �w <br /> 7HIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTTIFIBD -IN 4m:.PUB= HBAI.TEI <br /> SERVICE&TNVIRONMENTALHEALTH DIVISION(END)POUCY M-W7.ORDINANCB CODE OF SAN <br /> JOAQU N COUNTY, EHD'FEES AND SERVICE CHARGE RESOLUTIONS,"STATB`WATER CODE, ' <br /> L GOVI~RNMENT CODE AND THE EVIDENCE CODE. , <br /> I' . A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PU13UC FILESIRECORDS REVIEW ARE BY AI'POINTMfiNT ONLY. APPOINTMHNTS ARE • <br /> ARRANGED BY CALLING (209)468-0340, OFFICE HOURS FOR APPOINTMB,NTS ARB SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12100 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A*FU13UC RECORDS RELEASE APPLICATION ANDA O - DEPOSIT OF$78.00 ,:1#t <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILBS/RECORDS ARB <br /> NOT AVAILABLE WITEIIN THE CUSTODY OF THE EHD. g ' <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS"gM TOTAL. FILE REVIEW <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRI)R( TO REVM-wWG WE R' <br /> DOCUMENT(S). 4 ro <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE' ' <br /> CORRECT BY THE EHD STAFF AT THB EXPENSE ��`-Y�,f <br /> OF THE APPLICANT. 'THIS'AbDTIIONAI.r <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT.'-" :: : " « < <br /> : <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE SFiD PREMISES. <br /> L <br /> SIGNATURE OF ' <br /> r. APPLICANT DATE �Z�cl c� <br /> yt L <br /> Yak SIGNATURE OF RELEASING OFFICIAL DATE <br /> ~t4 EH 00 14 (REV 12/92) <br /> Z0'd - EGSEISSI Ol I08=1: . WFfSE:Tt C66T-9Z+�'80?` " <br /> r` <br />