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SAN JOA UIN COUNTY (. <br /> Q n�1 � ,n <br /> PUBLIC HEALTH SERVICES fl S� <br /> ENVIRONMENTAL HEAL'T'H DIVISION 1 o <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> h.-r . <br /> APPLICANT , e g u L21r-v.� l PHONE NO t► +�� '7� 1 - z i 1 <br /> ADDRESS I n M e 1uS' ( 60A 1wSeu+ <br /> AGENCY NAME PHONE N , , ! -' <br /> ADDRESS Li <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 17 <br /> SAP U--, 30IC_�. iam�,�_ / IZ-Ar v� SW'mn- ��' J/-rteg Z <br /> 7- 30yo l(). C3eA ',4),;, JA/��i.•e,S <br /> 3 I z <br /> 1d}c.ur m .i 2`105 0) . 1 K bri'i(e0 <br /> Arcs -> 77TOR Lt". aeV7Sikinv r <br /> r'v%cc Vere- <br /> bSlie((lot k �u o 19 -- <br />=-�n <br /> 7-rl Yia1 /.nom /,c,. Sfvclt .� �/� tocGr.Au:Vtio..; IA', 4cjke�4 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007,ORDINANCI3 CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. PUBLIC FILES/RECORDS REVIEW ARE BY APFOII noN[jONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE 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. <br /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$79.00 <br /> IS REQUIRED. DEPOSITS',WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 3: THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE'OF THE CHARGES ARE DUE AND PAYABLE PRIG$TO REVIEWING THE <br /> DOCUMENT(S). <br /> 4. PUBLIC FILES/RECORDS 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 BB BELLED TO THE APPLICANT FOR PAYMENT. <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD FREt1+pSES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICI DATE <br /> EH 00 14 (REV 10/92) <br />