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10106198 TUE 16:07 FA.T 2694671118 AGE-STOCKTON 03 <br /> C .J o l �� t <br /> N SAN JOAQUIN COUNTY <br /> I ' 1PUBLIC HEALTH SERVICES I y - 'z �y <br /> ENyMOn*:NTAL HEALTH DIVISION <br /> ISION <br /> PUBLIC RECORIV RELEASE APPLICATION <br /> APPLICANT{ tt t m n PHONE NC370 <br /> A17DRESS , Uj rt <br /> AGENCY NAS PHONE NO <br /> ADDRESS <br /> ELE ADDRM SAI} AGR6 Y DATE <br /> 5boo S'C11 morr-rul <br /> -�q <br /> r? fill- <br /> --,a, it I}, e <br /> 503 <br /> O4-42 <br /> . <br /> t r <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONME:NTAL HEALTH DIVISION(EHD)POLICY#92-007,ORDINANCE CODE OF SAx <br /> JOAQUIN COUNTY, EHD FESS AND SERVICE CHARGE RESOLUTIONS, S'T'ATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CGDE. <br /> I. A MAXIMUM OF TEN(10)PREMISE ADDRESSES PER REQUEST_ <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINT2vIENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULER <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, &:.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 THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITMN THE CUSTODY OF THE EHD- <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW .FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S), <br /> 5. PUBLIC FILES/RECORDS NOT RETT.t'IINED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR.PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRI✓CORDS SHALL AIC►°T'BE REMOVED FROM THE:EHD PREMISES. <br /> SIGNATURE OF APPLICANT _ DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12192) <br />