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Alog <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT 4 W O H. Jo' E! PHONE NO ail: F.66.9e% <br />ADDRESS /55 $°//ce5 e4 W/ecs <br />AGENCY NAME PHONE NO <br />ADDRESS <br />FILET__ILLZE-Sa <br /> <br />/,17// A/. <br />I <br /> <br />)7(>0 • Reo47,u147 <br />/)0 /3,eort-Dwrir <br />7 // L <br />8g04awft <br /> <br />20 S-- es/ #43,e d't <br /> <br />/ sc 4,eve?2,44.4./ <br />oo wil-aircoo 12 b <br /> <br />LEAD AGENCY <br />- <br />pAni <br /> <br />5- 7 fiwoc <br /> <br />?f I 7 tbsiSitile !set 12,0 <br />?a. it.i? too I? <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (BID) 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 />A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br />AR RANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br />MONDAY THRU FRIDAY OCCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br />P.M. <br />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 />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 />S. 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 APPLICANT DATE <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />RI 00 14 (REV 12/92)