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a 1 <br /> SAN JOAQUINCOUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH.DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> IE <br /> APPLICANT Cset k�kk cJ fp-td SCTtj 1L� "PHONE NO `i 5(- -D.�64 l <br /> ADDRESS (`803 W jn(wc,k "v<e,, S i-k A S-ivck� Ccs\,FwAv+ <br /> AGENCY NAME if PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATB <br /> I <br /> IDS 'gjysfrlt s Pm(-Prive. V11anfece, PNSEND <br /> 1103 S. rrlain Street, Manteca S• %fO <br /> k 16 S fnAtt Sttert, Mawtece p ws v>♦ <br /> 10o s. frim" S-teect,antcce )4 <br /> 4o o SaAur}nk1 Pa r1c Drive, Wlan'kca P14S P Is 1 <br /> 1193 kkmd"df Grcic. M4nfec4 15A. em) <br /> 4 PAYMENT <br /> r,crrFIVED <br /> 4c, ISMO <br /> ,1 Nn � _ co Tiu�— <br /> SAN J <br /> LIC IiEAI-TH SER pNISION <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTAPI 1N THE PUBLIC HEALTH <br /> SERVICES/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 /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> A <br /> L. 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 T'HRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M.;,TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. 4 <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <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 /> ,e <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 PRIOR 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 REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANTDATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) € <br /> F <br /> -I <br />