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I..0 Cl IVlU1 <br /> i <br /> SAN JOAQUI N COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT_ Nl I elf i %��i PRONE NO <br /> ADDRESS <br /> AGENCY NAME cCu u PHONE NO -- <br /> ADDRESS <br /> FILE-ADDEMS LEAD AGENCY: -ATE <br /> Z9. <br /> flilo�=rr/IT ���s? .rnA�T�cda c 1, <br /> T <br /> 1! 9 9 Vi►�a�IiJ�r C',��� <br /> �60 T NT i,c n2 .oz�,r,2c.�...?181✓ <br /> ll <br /> !l M b.j .777te-T An,r urr�A. <br /> PAYMENT <br /> APR 7 8 1904 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS 'ID J&DE <br /> C HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD) OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGfi CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE, <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINWENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS AkE 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. t <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> l <br /> IS REQUIRED. DEPOSITS WILL. BE RETURNED TO THE APPLICANT IF THE FU.ESMf ECORDS ARE <br /> NOT AVAILABLE WIMN THE CUSTODY OF THE EHD, <br /> 4. TRE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAfABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5, PUBLIC FM/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE r <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THF!APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT.: E <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT 13E REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT % DATE 2 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EII 00 14 (REV 12/92) <br /> J <br />