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. SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> E^WIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT e. � v c e ? c. oEc y� c PHONE NO <br /> ADDRESS w-x " <br /> 59 nc+ ONs.Q c`/CA06 .f A,p OCAT 2770 .yyy-, <br /> "� 4 LC Srr17 7�6 /5� <br /> ,..-u as pr/s ,(E.y!> PHONE NO <br /> ADDRESS r A-� aX L n a <br /> %I .B AIDDRaSC -, PAYMENT <br /> ----�� LEAD AGII�7CY <br /> It I�1 y 14A.7 <br /> 0p <br /> cQYSTgC c,[EN✓YJ ' 8v7?ER,. - :_ ti)tl:`Y <br /> <`5� /✓ESI' f.t bra on? -T �N SsA<y✓r.✓cmr..✓y'+p, , <br /> ,.r r e c,e 7�.✓ - c rs ENVIRONMENTAL HEALTH "'_ <br /> . <br /> c.u,.,sc �.V EVR oL.c 7- s-.r-✓ J"�.c'T✓/,<l Ca+'n..y� . <br /> ^T� e.KT c.✓ � �� . . <br /> THIS NOTICE IS SUWECf ;TO THE REQUUMU31,TS MMn7F� IN ,'TH$ PUBLIC HE, Lm <br /> SERRVIC.ES/EIWIRONMENTALREALTH DIVISION(EEID)POLICY A92-007,ORDINANCE CODE OF SAN, <br /> iOAQUIN '"LINTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS,.STATE.WATER CODI=. <br /> 30VERNMENT CODE AND THE EVIDENCE CODE. <br /> i. A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> PUBLIC PUSS/RECORDS REVIEW ARE BY AI'POCNTMENT ONLY. APPOINTMENTS ARZ, <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDUi <br /> 11,WNDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND RE P.M. D -_ <br /> r.,V.. <br /> A PUBLIC RECORDS RELEASE APPLICATION AND A NQE:REFUNDA13LE DEPOSIT OF S7-.—. <br /> .5 itEQU1RED. DEPOSITS WII.i.. BE R,cTiiRNED TO TE— APPLICAINT IF THE FILES/RECORDS AP.i:. <br /> >T AVAILABLE WITHIN THE CUSTODY OF THE EFID. <br /> THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FE: <br /> "TARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE 1'ZIOR TO REVIEaVING Ti- <br /> :%OCUMENT(S). , <br /> PUBLIC FILES/RECORDS NOT RETURNED IN T'rIE SAME CONDITION AS RECEIVED WILL BE <br /> ?,RECTED BY THE EHD STAFF AT THE EXPENSE OF TRE APPLICANT BICE ADDTIIONAL <br /> SERVICE NI <br /> Villl BE BILLED TO ME AnUC . "--PAYMENT.' <br /> h• ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EM PRR: IISLS. <br /> - 'NATURE OF APPLICANT `� F _.� DATE /z <br /> ;NATURE OF RELEASING OFFICIAL DATE' <br /> i' ^>O 14 (REV 12/92) <br />