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(��1C101 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC BEA-LTH SERVICES <br /> FAvVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPT..ICANT PHONE NO(`l &) 3 VI.- <br /> ADDRESS <br /> I-ADDRESS <br /> AGENCY NAME itbZ- PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 313r'iLlelie - 3-7 3'I die! le,,J <br /> Yqbo S. kwl tll-` Fr (Rr-�/ Disc <br /> 4 C . 1 t 1.L 4 cI <br /> q7 3 3 S. rtw I q I <br /> -2'7 L, �A� e'L%2 Q Lo W r� z P AU <br /> 1104 <br /> -3-3 3o0clLc we <br /> yS47 _ c <br /> pUgLtC H�p,1.jH <br /> '11415 NUI'1C F- IS SUBJECT TO THE REQUIREMENTS IDENTLFTED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES ANb SERVIG'>r CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND TETE EVIDENCE CODE. <br /> I. A:MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESIR.ECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0?40. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY TI4RU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. A <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78.00„ <br /> IS REQUMFT?_ DEPOSITS WTT 1. RF RE-11-TRNED TO THE APPLICANT IF THI? FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLJED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TD REVIEWING TKE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDTT'ION AS RECEIVED WILL BE <br /> CORRECTED BY THE IIID STAI'I' AT ME EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL B8 BILLED TO THIS APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FIL-ES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE S oZ�93 <br /> SIGNATURE OF RELEASING OFFICIAL. DATE <br /> hK UO 14 (REV 12/92) <br /> - •'� 7E'�IT��'�TSi i ! l'Jcl� �,�f,�S: ;G3 �66I-8�:-SCJ <br />