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SAN <br /> � JOAQUIN COUNTY _. . <br /> 1 PUBLIC lacALTH Smuc - <br /> `.Ec:NV ONNlE NTAL HEALTH Dt*faION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT -s ,9. ' B�„�,,; �1can► Asscw- PHONE NO l' Va �=��•• <br /> ADDRESS 113 3Alkeks Q c a c 9 ' <br /> AGENCY NAME PHONE O <br /> ADDRESS <br /> -tel? $ .t'�i'r• L$AD AGPNCY <br /> a5 q u <br /> ` "Ro3 PAYMENT <br /> EIVED <br /> ,► ;v DE f% n 2.1993 <br /> I 2054--t— ,- 95d c3 <br /> SAN �n��U1N C.01ni itiry <br /> o <br /> 4 95c3 PUBLIC HEALTH SERVICES <br /> MVIKVlgMEN I LH <br /> LiflUIVISIUM— <br /> ims NOTICE IS SUU7ECT TO THE REQUIREMENTS 1DFNTZFDiD IN '11M PUBUC HEALTH <br /> SERVICBS/ENVIRONMNTAL HEALTH DIVISION(EHD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, HHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE 13VIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESSECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS TS ARE SCHF.•DULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M:TO 12:00 NOON VlD 1;00 P;M.TO 4:30- <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION ANDA MONA DEPOSIT OF 578.00 <br /> IS RBQUnMD, DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILZSIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. 71-M ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE Qlj TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORMI'ED BY THE-SID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDMONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PU.ES/RECORDS SHALL NOT BE REMOVED FROM THE EHD FREMISBS. <br /> SIGNATURE OF APPLICANT IDA• <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) ss <br />