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--r <br /> a-YJ I-1 / LL! 1 C:1r i•# "i hL <br /> pa <br /> SAN JOAQUIN COUN'T'Y _ � —,7 <br /> PUBLIC HP-ALTH SERVICES <br /> ENVIRONMENTAL HEALTH D"IOH <br /> PUBLIC RECORDS "T EASR APPLICATION <br /> APPLICANT K r✓i rl M '-f5 i b b+h PHONE NO <br /> ADDRESS <br /> AGENCY NAME IV vo it r PHONE 110 9 V G-0-26 <br /> ADDRESS 110 W Mirch <br /> ��•� S�hc{ sally Ig46 o+oy n�•d•d <br /> FIi..E ADDRESS LP11D A EN Y DATE <br /> N o_ i N: 5.., J a, W S Z. f N I- ff H ;g o3,5•02--1 yl/l ^1� <br /> 437 F. K;h•r fv.; �� !n ,�. <br /> bo 1 _M,n46- Aw._ �S• 9 �� <br /> 4 o ✓Lt i. <br /> b D IV•�C� � r n� s 4 3 - a;--7 ro rl <br /> 1-1-TS NOTICE IS SUBJECT TO THE RFQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRO\hiENTAL HEALTH DIVISION (END)POLICY #92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATUR CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE.. <br /> I. A NIAVJMU1.i OF TEN (10)PR.E),USE ADDRESSES PER REQUEST. <br /> Z. PUBLIC FILES/RCCORDS RBVIEN ARE BY APPOINTMI~NT ONLY. APPOINTRIF-NTS ARE <br /> ARRANGED BY CALLING (209)468.0340. OFFICE HOURS FOR APPOItMl LENTS ARE SC1413DULED <br /> MONDAY THRU MDA.Y EXCLUDING IAOI1DAYS. 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> p.m. <br /> J_ A PUPLIC RECORDS RELEASE APPLICATION AND A NON•RLFuDABLI; DEPOSIT OF S?3.00 <br /> IS REQUIRED. DEPOSITS WILL BE RFTURNED TO THE APPLICANT IF TILE FILESIRECOR.DS ARB <br /> NOT AVAILABLE WITHIN THE CUSTODY OF TIIP I:J4D. <br /> 4. THF ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> cl4ARGE. THE BALANCE OF THE CHARGES AJW DUE AND PAYABLF- PRIOR TO RF-VIE"NG THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILESIRECORDS NOT R.ET7JRNFI)IN THF. SAMS CONDITION AS RECFlVED WILL BE <br /> CORRECTED 13Y THE EHD SI'APP AT TME F.XPENSB OF T142 APPLICANT• THIS ADDITIONAL <br /> SERVICE WILL. BE BILLED TO THIS APPLICANT FOR PAYMENT. <br /> 6_ ORIGINAL PUBLIC FILESIRECORDS SHALL. NOT BE REMOVED FROM THE STD PREMJSES. <br /> SIGNATURE OF APPLICANT - 'I/G1,c. DATE $ <br /> SIGNATURE OF RELEASING OFMCIAL. DATE <br /> FN 00 14 (REV 12192) <br />