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I kJ�dtl—1`J.Jb b=b/YFt r Y.U�HIat i•1l. GYJ� r.�a rJ/rxi �� <br /> SAN JOAQUIN COUN1"Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT LCIi/�YL+C M /W wiOPHONE NO <br /> ADDRESS Mexk Zh A6-,A Scz� 14 <br /> AGENCY NAh PHONE NO <br /> ADDRESS <br /> .FILE ADDRESS LEAD AGENCY DAI <br /> 0 517 Ws�ar.��- <br /> a 12� Af �9, rvtc <br /> c, Is csrrsC`-' 3S"• 1lo SS " <br /> a 1/017 vO / rrrfEm h lr Sf 35.E n <br /> lilts NOTICE IS SUWECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SER VICEVENVIRONMENTAL HEALTH DIVISION(FHD) POLICY#'921101, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RFSOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PtIBIJC FII.ES/RECORDS RF.VIFW ARE RV APPOIINTAIFNT ONI-1'. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)169-0330. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 9:00 A.M. TO 12:00 NOON AND 1.00 P.M. TD 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUND IEE DEPOSIT OF(78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF 114L FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE E"D. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEF. <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLERp IDR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC F1LFSIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY 111E EHD STAFF AT THE EXPENSE OF THE APPLICANT, THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT_ . <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE FHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> F11 00 14 (REV 12/92) <br />