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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT T ISN tLw PHONE NO G l <br /> ADDRESS-1 g zQ +e- /F S v l'� 9sl l5 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDR13$S LEAD AGENCY DATE <br /> l5so c �L �w� tifi caul � r+ P4,�11�! <br /> /I,fin <br /> 6 tong <br /> L-3 Is <br /> �12 . m <br /> L <br /> I ILI <br /> l <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESMWIRONMENTAL HEALTH DMSION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> IOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILRS/RRCORDS 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 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-REEMDAB 3 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 RHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEB <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING TjIE <br /> DOCUMENT(S), <br /> 3. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDTIIONAL . <br /> SERVICE WILL BB BILLED TO THE APPLICANT FOR PAYMENT. <br /> . 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES, <br /> SIGNATURE OF APPLICANT <br /> gq�Tg _f.2/1L�93 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />