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APPLICANT <br />ADDRESS_31 <br />AGENCY NAME <br />ADDRESS <br />SAN JOAQUIN COUNTY ,7Q (/0 —, —00 <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISIVE <br />TBLIC RECORDS RELEASE APPLICATION <br />PHONE NO <br />PHONE NO <br />SLY 1� D Z <br />FILE ADDRFSS ik <br />�,7 1 calrJ,� <br />-* A0 oJcireSSe civ n R,Qon CA gS3b6 <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED .IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL <br />E CODE OF SAN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLU'nONS,S�'ATE <br />WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. ARE <br />PUBLIC FILES/RECORDS REVIEW ARE BY �PPOINIMENT ONLY. AppoenIfENTS <br />ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCIIEDULM <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 />2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF S78.00 <br />IS REQUUkED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br />NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br />3. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TO <br />THE TOTAL FILE REVIEW FEE <br />CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE FRIOR TO REVIEWING THE <br />DOCUMENT(S). <br />4. PUBLIC FILES/RECORDS NOT RETURNED IPJ THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WELL BE BIL ED TO THE APPLICANT FOR PAYMENT. <br />S. ORIGINAL PUBIIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PRPWSF-S• <br />I La <br />wouJ <br />SIGNATURE OF APPLICANT <br />�A TdEWIr - <br />SIGNATURE OF RELEASING OFFICIAL <br />ECEIVEDATE <br />EH 00 14 (REV 10/92) <br />3 <br />SAN JOAQUIN COUNTY <br />U <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />t <br />•� cs tt zs�oc�ot <br />wouJ <br />