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APPLICANT <br />ADDRESS <br />AGENCY <br />ADDRPSS <br />I -91 f: <br />� SAN JOAQUIN COUN'T'Y � <br />PUBLIC IIEALTII SERVICF,S ' <br />ENVIRONMENTAL IIEALTII I)IVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />X rG� &P FI I ONB NO <br />filivaury <br />Li;&D &CENIC: Y <br />_/Q :)`— ey 3 <br />3 <br />�r a C- . rx-wn(�%/r ::fc • c pe/ru/•v 71 FNuIQQA4Mr-N; HEALT�1 <br />PERMIT /SERVICFS <br />TMS NOTICH IS SUBJECT ,TO Tllii REQUIREMENTS IDEN'TiFIED IN TILE PUBLIC HEALTH <br />SF..RVICES/ENVIRONMENTAL HEALTi1 DIVISION (131313) POIJCY #92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATERCODE. <br />OOVERNMHNT CODE AND THE 13VIDENCE CODE.' <br />- zo T7 <br />I . 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 HOURS FOR APPOINTMENTS ARE SCHEDULED <br />MONDAY THRU FRIDAY EXCLUDING HOLJDAYS, 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 NUN -REFUNDABLE DEPOSIT OF 578.00 <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 IDENTII•lED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br />CHARGE. THE BALAVCB OF THH CHARGES ARE, DUE AND PAYABLE,PRIOR TO REVIEWING THF <br />DOCUMENT(S). , <br />5. PUBLIC FILES/RECORDS NOT RETURNED IN TlIE SAME CONDIAON AS RECEIVED WILL BE <br />CORRECTED BY THE EIRD STAFF AT THE EXPENSI3 OF 711H APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILLED TO T1IE APPLICANT FOR .PAYMENT. <br />6. ORIGINAL PUBLIC FILES/RECORDS SHALL .NOT BE REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OP APPLICANT L <br />SIGNATURE OF RELEASING OFFICIAL <br />rill 00 14 (REV 12/92) <br />DATE <br />DATE <br />