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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL AL DMSTON <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT PHONE NO q t w "61..3 J!2 <br /> ADDRESS <br /> _jj q5� <br /> AGENCY NONE NO <br /> ADDRESS <br /> LEAD AG CY A <br /> U�itl N. el6 ,a®� <br /> HEX <br /> 11 P . , <br /> va' <br /> 11,Ilion <br /> -"US NOTICE IS SUBJECT TOTHE REQUIREMENTS MENTIFIBD IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION )POLICY M.007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MW PEES AND SERVICE CHARGE REsOLU11ONS, STA'T'E WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAMMUM OF TEN(10)PREMISE ADDRESSES PQU . <br /> 2. PUBLIC FILESMECORDS .REVIEW ARE BY _ POammu.9m. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)46x-0340. OFFICE HOURS FOR APPOINTMENO AgE 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 NO d• ND LE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RESJRNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS AMIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE ffAa TO REVIEWING VE <br /> DOCU]WENT(S). <br /> S. PUBLIC FILEMCORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVEDBE <br /> CORRECMD BY THS SM STAFF AT THE EMSE OFTHE <br /> . IMS ADDMONAL <br /> SERVICE WHJL BE 13ILLED TO THE APPLICANT FOR PAYMENT. , <br /> 16. ORIGINAL PUBLIC MESMECORDS SLAM NOT BE REMOVEDFROM THE EHD PREMISE& <br /> SIGNATURE OF AP NEW <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> ER 00 14 12/92) <br /> Tn•J CTnr. .ter . <br /> ('MO']TCT rM1,JJ rlJOr^.r^ nCC T_QT..r.r <br />