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r <br /> SAN JOAQUIN COUNTY e <br /> PUBLIC IIEALTH SERVICES <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NC1�Ze�e� gS(r 'J;t(v`/ <br /> ADDRESS <br /> AGENCY NAME (,c:ulp10d tlr,(d(� �crwej PHONE N01ZOeo Q5u. - u.;�&y <br /> ADDRESS M3W cfl� veer Loot, Serle A , ' jVc.lr uy) ((T Ty)U'7 <br /> DILE ADDRESS LEAD AGENCY DATE <br /> St-UOth NV'-9v!4 -100134 //6140141 ,ht'M1,160P1 'ST flai.)Cm1,2 <br /> 111ccl 11vube) 111�2' 15U p(o{dlr tZ00, Freun <br /> tlf L • <br /> I C'� �(:+ S I-l[1Vl L:'1 IZL�, jl`Q NLI � <br /> Grrrlte (.ons},uLifon- lusov 11�wta�I a ,Yve, t G1, <br /> wl(%Lsc're flnue, Sinc Icbv, <br /> S1eI lu SQn.1os - T<Lll� N L Ic ,�,,n, f�lockllni AQ—j� ;:,.: ; <br /> L11ocl„cvr( rf�J�3 - �f31 cclo7 e l)VIy Slb( SANJOAOI!1PIi,i1L;r! <br /> ,Jlile/ll[��1(`b(:JI 1C4el – 0326 Tempe Or-tSl PUBLIC `�'"! vv .i�UN <br /> 11l,rlo Albs1. - � 3 Tprel>r Q-. 5}ycE nRor. ~—° }' <br /> Pxrlcon'�t7 – 3tu0 J&14�.-loc gj', Sl1A1L-1k;Yi <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (END) POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID FEES AND SERVICE CHARGE 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 APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. 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 /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE END STAFF AT 111E 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 i 7 7'21CVy VtlV it1.• DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Ell 00 14 (REV 12/92) <br />