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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES � 7 <br /> E� IRONN�IvMAL HEALTH`DIVLSI <br /> PUBLIC RECORDS RELEASE'APPTiCATION j' <br /> APPLICANTT {^r r.fE'!/ PHONE NO 2 ';-aa L3 <br /> ADDRESS_ 11S u�vu� c�.c� Tek L c�c� =�ls��rfc�?� c7f c7e,'SC6 <br /> AGENCY NAME PHONE NO scxw ck <br /> ADDRESS <br /> .. t <br /> ELLE ADDRESS LEAD AGENCY <br /> ,'375 /rac y moa l�vaar%%r<<r� UST Cc-Fz�i�rlxl�ra; lfellr t �4!:G!/a7 �Y . <br /> S75 cta-�rutC�r.P .E'd_ Tiarflaz- GG=rr. c:ur�ca�rr- � - _ <br /> r1'PY W.Gsurr e"Ac 'tul,Trdc <br /> W.-Cra"'ff Cisu /Zd. ��dr _ <br /> s Yf 0,%-, Trctc E <br /> �szq Truer 13lvod- Tyr - 1V <br /> jok <br /> /.Tq u/.c,;wr G..ri ,eal Trirc - JOAQU <br /> .. <br /> ��vsoracy r$rud, .� GY HEA toN <br /> THIS NOTICE IS SUBSEC'T TO THE REQUIREMENTS iDMqTMM Dt�11fS•PU$L2Ir"IMALTH <br /> SERV IC83MNVIRONMENrAL HEALTH DIVISION(,moo)POLICY x-0071 ORDINANCE CODE OF 3AN <br /> JOAQUIN..COUNTY, EFID FEES AND SERVICE CHARGE RFSOLtMONS,'STATSM'9S►f►TEtt°CODBe <br /> GOVERNMENT CODE AND THE EVIDENCE CODE.r <br /> t rp f <br /> 1. ' A MAXQdUM OF TEN (10) PREMISE ADDRESSES PER REQUEST <br /> 2. ''PUBLIC FlIX&RECVRDS REVIEW ARE BY ARS <br /> ARRANGED BY CALIINO M9W84340. OFM4= HOURS'FOR APPOWTALEM ARS'SC.I3EbULED ` <br /> MONDAY THRIT FRIDAY EXCLUDING HOLIDAYS: 8:00 A.M.TO 12.00 NOON,AND f:00 RX TO 4:30: <br /> 3. �A PUBLIC RECORDS RELEASE APPLICATION AND A T y DEPOSIT OF S71I.00: s. <br /> IS 9 sql 6D. DFp 13 WELL BE RETURNED TO THE APPLICANT IF THB M 3tPWORD9: <br /> NOT AVAILABLE.WITHIN..?CUSTODY OF THE EfID. r x <br /> R <br /> 4 `'IiIB ABOVE WENTUIED DEPOSIT IS APPLIED TowmW THE TOTAL F=RB MW FEE. <br /> ., CHAR(-M THE BALANCE OF THE CRARGES ARE DUE AND PAYABLE per$'PC Rr;-U3WING THE F <br /> S. -'-' &iUC F' .MMCORDS NOT R RNED IN THS SAME CONDITION'AS RECBtYEw WILL.BE <br /> CORREG'IED HY nM sm STAFF AT THE $YPENSE OF THE.'APFUCANT.:.;THS"ADDI'IIONAL <br /> SFEVICE:.WILL BE InTI TO TLIE APPLICANT FOR PAYMENT <br /> - 6. ORIGINAL PUBLIC FILESIREC0RDS SHALL NOT BE REMOVED PROM'M 1 F PREMISES. - <br /> SIGNATURE OF APPLICANT t �+, DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH OU 14 (REV 12/92) <br /> TOTAL. <br />