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SAN JOAQUIN COUN'T'Y • <br /> PUBLIC HEA1,11I SERVICES <br /> ENVIRONMENTAL HEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT l'u(.Qa� 141 G�41 YI. PHONE N020,9— iqY- 9ZO-V <br /> ADDRESS -5kc4ldti Chi' 45 Z�/3aLo <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> me 4p �raA51J �4T, <br /> Z,2- fit/ Ci r[ut'yt,�, AfF6 <br /> /Y2 9 6. Aw e lc.A4 -- rakec a <br /> 4'S" f�1 'n �•( C a�e lea H de e� c <br /> ['(0 0 Z �. La u y-Z�-L Cu/` rniw Lt/4,�.t �✓i%C.. <br /> o <br /> Lf <br /> I(. Z/ !;• GIJrnA�- A n ele4 t <br /> / Sloo tE CL,�Nh�/ SFA r,,n A �. <br /> THiS NOTICE iS SUBJECT TO Tim REQUIREMENT'S iDEN-11PIED iN THE PUBLIC HEALTH <br /> SERVICES/ENViRONMFNTAi_IIEALIII DIVISION (F-14D) POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUiN COUNTY. END 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 /> 2. PUBLIC FiLES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE [TOURS 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 APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WiLL BE RETURNED TO TiLE APPLICANT IF TTTE FiLES/RECORDS ARE <br /> NOT AVAILABLE WI-T'IIIN TTTE CUSTODY OF THE EIID. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 1S APPLiE,D 'TOWARDS THE TOTAL FiLE REVIEW FEE <br /> ('HAR('►F. 'TME BALANCE OF THE CHARGisS ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> .5. PUBLIC FILES/RECORDS NOT RETURNED iN 111E SAMii CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TI1E Ei1D STAFF AT 111E EXPENSE OF 1116 APPLICANT. THiS ADDITIONAL <br /> SERVICE WiLL BE BILLED TO TTTE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FiLES/RFCORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> \� SIGNATURE OF APPLICANT DATE �� �i'� <br /> SIG NATIJRF 017 RFiI EASING OFF iCIA1, __._----.--.-----___--- DATE -- <br /> Ell 00 14 (REV 12/92) <br />