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� 1 <br /> SAN JOAQUIN COUN'T'Y <br /> PUBLIC JJEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS E APPLICATION <br /> APPLICANT A-,ft- PHONE NO % 491-3570 <br /> ADDRESS 11528 Tptlou Ra• #A <br /> AGENCY NAME Nov mwest• Emmocow PHONE NOgrb 649-3070 <br /> ADDRESS 1828 T-v% u.lc IBJ- $A <br /> FILE ADDRESS LBADAGA AGENCY DATE <br /> Writ- L-Avec.' <br /> Awlcluko MoI Nlllwu�I_ El' <br /> 3-2;0 N• \Y", L>wG r1* <br /> IZ3 Al i4w 4"v& E LD{� <br /> &cll I)01 tWHU!j 15Z3 6 Pj" E_� ---- <br /> MS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTMED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE. CHAkOE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINnfl= ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)458-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:06 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REVMABLP,DEPOSIT 0178 00 <br /> IS REQUIRED. DEPOSITS WILL.BE R33TURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE MW. <br /> 4. . THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THS TOTAL FILE REVIEW FEE <br /> CHARGE. THE HALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING TRE <br /> DOCUMMNT(S). ' <br /> { 5, PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE $HD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANTFOR PAYh�IENT. <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHI] PREMISES. <br /> SIGNATURE OF APPLICANT --- DATE � <br /> T' Sc-� <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12192) <br /> rn a Crr?r^r -aarcr n ai �r�. -n e7lr T—OT—IMl <br />