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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES — <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 5 Ve(' L . + FHONE NO �16- ,366-/7-o/ <br /> ADDRESS O:-;7 ;fc C rc <br /> AGENCY NAME Klleii Fe Ic)e r PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DAA <br /> 6�/ s P tic �1t,02_ c'ot,.v\V <br /> ���CA � tIc l�i�le. �n.�N�V <br /> 23 149 <br /> P3a� 'TIEAtTH ScR4' r'N <br /> 6soJGCi�ic <br /> cal-.ri CE�✓1�Y __ El'A ENVIRONMENTAL^P� <br /> s <br /> 2 ► u A — <br /> 2 a �� <br /> A V► — ca/-L�lq <br /> 1 <br /> THIS NOTICE IS SUB. ECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(END) POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EAD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. PUBLIC FILF.S/RECORDS REVIEW ARE BY AYLNQINI'MENT OKLY. APPOIIY'TMENTS ARE <br /> ARRANGED BY CA LING (209)468-0340. OFFICE HOURS FOR APPODfrMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDINO HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILFES/RECORDS ARE <br /> NOT AVAILABLE wTT14w THE CUSTODY OP THE EHD. <br /> 3. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE MO g TO REVIEWING THE <br /> DOCU MNT(S). <br /> 4. PUBLIC FILES CORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE TO THE APPLICANT FOR PAYMENT. <br /> S. ORIGINAL "LIC FIL ES/RECORDS NOT BE REMOVED FROM THE EHD PREMjSES. <br /> SIGNATURE OF APPLICANT --- DATE y f 2 R ZZ2 _ <br /> SIGNATURE OF RFT FA SING OFFICIAL DATE <br /> EH 00 14 (REV 10/92) <br /> I d L^ 1I ?6i0Ei0I WOdj <br />