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lf� 2 <br /> SAN JOAQUIN COUNTY � ��PUBLICHEALTH SERVICES � 21992 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION ONMENTAL HEALTH <br /> 2MIT/SERVICES <br /> APPLICANT L.�IW�G � c� -1�/�ri,�t k�./s�.Is_PHONE NO ge >' )4�Y-,,' z <br /> ADDRESS -je'v" :w ar sM�>.�' -s - <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> glLg p�DRgq� LEAD AGENCY DATE <br /> is <br /> .�� s ./✓,totes , s�»»t.��i > � <br /> E. :torts /v,� s�►r�,Era./ t <br /> `IRIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, ERD FEES AND SERVICE CHALICE 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. APPOI 47MHM ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOWIMENTS 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 ANDA DEPOSIT OF$79.00 <br /> IS REQUIRED. DEPOSIT'S WILL. BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE 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 PAYABLE PRI 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 EHD STAFF AT TUB EXPENSE OF THE APPLICANT, THIS ADDITIONAL <br /> SERVICE WILL BE BILI.M TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL.PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14(REV 12/92) <br /> �� b I 'd 92 :9I 26iLIiZI wodi <br />