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4 SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SE NgCES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCAN'T Sive PHONE NC) 9rb 641-3510 <br /> ADDRESS Ff;n Tv%vo,:i , Ra• *A <br /> AGENCY NAME NDV rkWee t E5I ftDCVt. PHONE NO cm W-3x770 <br /> ADDRESS 18-25 rvik r- lz1. *A <br /> FILZ ADDRESS LEAD A CY DATE <br /> 2JO! v�cdt' f.a►c. . <br /> Awiuu�y MDIji 7tlJ NI!lwu�K <br /> I�35 Al ;►w /1uc�iV� Lop <br /> G,r vis y k PF I L-L 4 E .41 11�r- <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN T14E FUBI..IC HEALTH. <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-W7,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARC3E RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE.AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10)PREMISE.A,DDRESSES"PER REQURST. <br /> 2. PUBLIC FILESIRECORDS REVIEW ARE BY AEPOINIMENT 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 /> 3. A PUBLIC RECORDS RELEASE APPL:ICA77ON ANI?A NON-RM NDABLE:DEPOSIT 0I�7g 00 . <br /> IS REQUIRED, DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITmN THE CUS'T'ODY OF THE rgD. <br /> 4• THE ABOVE IDENTIFIED DEPOSIT IS A,"LIED TOWARDS THE TOTAL PILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). I <br /> (� 5. PUBLIC FILESIRECORDS NOT RETURNED`IN THE SAME CONDITION AS RECEIVED WILL BE <br /> �v3 CORRECTED BY THE EHD STAFF AT THE 13XPENSE OF THE APPLICANT., THIS ADDI'DONAL - <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. r <br /> 5. ORIGINAL PUBLIC MLES/RECORDS SHAL1,NOT BE REMOVED FROM THE F-H D PREMISES. <br /> SIGNATURE OF APPLICANT r— DATE -Z/z1/9f <br /> SIGNATURE OF RELEASING OMCIAL <br /> EH 00 14 (REV 12/92) DATE <br /> TP'-j CTnr-?T-0JTCT <br />