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SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTII DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT PHONE -NO <br />• <br />ADDRESS -_L9 <br />AGENCY NAME PHONE NO <br />ADDRESS <br />FILE ADDRESS LEAD AGENCY DATE <br />A,-(Cjblt-.VI'3 3L4a!5' N.'TfLe <br />&4&.afus fucjn-s '4131 <br />16*":2va- 14 35 10 -SDWj4 Rl <br />-T:mr� <br />5)�C�N 3725 N. Ymg4 ygvd- <br />3q 6 w <br />(�=nrd RN'6- <br />T141S NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SFRVTCF—S/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />L A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. 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 />4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br />CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIO TO REVIEWING THE <br />DOCUMENT(S). ol 0 <br />r •rLei 19M mkoll-I 9 Mu I 51NMay—w—ol IL4 O&IMIAM"ofelloomc <br />SIGNATURE OF APPLICANT / -T/71/,4,7 DATE <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />r -H 00 14 (REV 12/92) <br />rm <br />