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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONlVT4,NTAL HEALTH DIVISION <br /> PUB IC RECORDS RELEASE APPLICATION <br /> APPLICANT-� 4 U l N3L 1L�^ PHONE No <br /> ADDRESS�132) rQl fi o- • A , --R I <br /> AGENCY NAME E N Rocov PHONE NO S<r tr <br /> ADDRESS Soh^-rs <br /> FILE ADDRESS LOAD AGENCY D�T13 <br /> 0 7k SAS✓ u9,U 14ye `H <br /> ARro.coso (o��_ ESi �2E-iY1Ay7 l•. EL1 <br /> Zira gip• 3 57v FEELCN_ IJ.Ttc. <br /> Liu„ o !R'f8 F��'vl-n e- • �! <br /> AMONT <br /> Nov <br /> ,,, o,k IN COUN Y <br /> PUBLIC H� <br /> RM TTALHEALTH DIVA N <br /> THIS NOTICE IS suwE T TO THE REQUIREMENTS IDENTIFIED IN THE'PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION(EHD)P011CY#92.007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOL3PTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. 3 <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. " <br /> 2. PUBLIC PILES/RECORDS REVIEW ARE BY APPD jY(�IfiN `181VLY. .APPOiI�IMSNT3 ARE <br /> h <br /> ARRANGED BY CALLING (204)468-0340. OFFICE HOURS FOR APPOWTMENTS AT($SCHEDULED <br /> MONDAY"MU 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-REFUNDABL73 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 /> 4. THE ABOVE MENTIFIM DEPOSIT IS APPLIED TOWARDS THE TOTAL 1ILSREVIEW FEE <br /> CHARGE.. THE HAI.ANCS OP THE CHARGES ARE DUB AND PAYABLE PRM'CO ItEVlEWING TRE <br /> DOCUMBNT(9) <br /> H <br /> s. tic"PtLSS/Ri&RDs NOT RETURNED IN It3H SAM coNrnTtO ( wIIL BS<. <br /> CORR 'BY THE OM STAFF AT THE MU SN9B OF TillA 'I IIB ADDI ISONAI. <br /> SERVICE WILL.BE BRIMTO TIM APPLICANT FOR PAYMENT <br /> 6. ORIGINAL PUBLIC PMES/RECORDS SHALL NOT BE REM MM PREMISES. <br /> SIGNATURE OF APPLICANT DATE 1 R q 3 <br /> SIGNATURE OF RELEASING DATE s <br /> EH 00 14 (REV 12/92) <br /> i <br />