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iso o vtui 3 I <br /> ® SAN JOAQUIN COUN'T'Y <br /> PUBLIC EMALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE�.A,PPLICATION <br /> APPLICANT ILII Gft 4�L l�Ci z� li PHONE No <br /> ADDRESS u <br /> AGENCY NAME Mc-64ucX FzZlck n HONE NO -- <br /> ADDRESS_,� laa s r S S,�, h�+,,�,se"A- '911 133 <br /> FILE ADDRESS LEAD AGENCY pAT& <br /> MorTATG✓p. .MA�?Tf�CA c <br /> -7 5'7 42E a r 4 <br /> rr 99 VhN�FRAtcT �,nn ��j rr rg �� <br /> Y6y TNl(.cratAt ,P.tlCIC DR/✓e.f/�,.-,,,. a. f . <br /> r1S Z 1/M.4rrL8lLr nlRu=gtM 2iTm <br /> llL3 S, /I'1,*,,,� ,S772EkT IAirxrP79n. i <br /> CIG S. M,n�r �' �T •n�� <br /> /r90 5. <br /> PAYMENT <br /> APR 7 B 19% <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS ID TIC HEALTH <br /> SERVICES/ENVIRONMENTAL FIEALTH DIVISION(EHD) DE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICfi CHARGE CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> J <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS A0E SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M.'TO 12:00 NOON AND I:OO P.M. TO 4:30 <br /> P.M. ' <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A'N 2dAEFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL HE RETURNED TO THE APPLICANT IF THE FILESaECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE ELID. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PA+ABLE FRIOR TO REVIEWING THE <br /> DOCUMENT(S), <br /> I <br /> 5. 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 BE BILLED TO THE APPLICANT FOR PAYMENT.: <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE PE.MOVED FROM THE P.HD PREMISES. <br /> i <br /> SIGNATURE OF APPLICANT DATE 2 <br /> SIGNATURE OF RELEASING OFFICIAL f DATE <br /> EH 00 14 (REV 12/92) <br /> i <br />