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� N <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES 3 C/ <br /> ENVIRONMENTAL HEALTH DIVT.STON <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT //ha u / PHONE NO <br /> ADDRESS./At t AAeg :Ap 6r0g�' <br /> AGENCY NAME 2� -G?,-r.) — PHONE NO <br /> ADDRESS - <br /> ELLE ADDRESS LEAD A GENU DATB <br /> o 0 W <br /> 6 1�2w4 w (� N a5 • m� <br /> 35. 1Co SS <br /> s+aLn ' sSS. a <br /> -7 rKA <br /> it <br /> 77115 NOTICE IS SUBJECT TO "1NE REQUIREMENTS IDENTIFIED IN TUE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION ( FIID) POLICY 79247071 ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE ANI? TJ4E.BVIDENCE CODE, <br /> I . A MAxIMUM OF TEN (10) PRPMIS13 ADDRESSES PER REQUEST. <br /> 2 . PtIRI3C FILES/RECORDS REVIEW ARF BY APPOINT, h4P_NT ONI -Y. APPOINTMENTS ARE <br /> ARRANGED BY CAL(ING (209)968 -0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY HXCLUDING H0UDAYSW 8 :W A. M. 'I'O 1 ':00 NOON AND 1 .00 P. M . "TQ 4: 30 <br /> P. M . <br /> 3 . A PUBLIC RECORDS RELEASE APPLICATION AND A NON-FtEFUNI)6 BLE DEPOSIT OF 578 . 00 <br /> IS REQUIRED, DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WIMN THF 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 PAYABLERP IOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5_ PUBLICFILFS/RECORDS NOT RET-URNEDIN -1AESAME CONDITION ASRECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT_ <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM TUE EHD PROMSFS_ <br /> SIGNATURE OF APPLICANT DATE 76 <br /> SIGNATURE OPRELEASING Of FICIAL DATE <br /> 1:11 00 14 (REV 12192) <br />