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SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONIM ?NTAL HEALTH DIVISION <br />�1 PU 1YC RECORDS RELEASE APPLICATION/ �, <br />APPLICANT—�-1 AS U l -N3( (L5 PHONE NO G O 31 <br />AGENCY <br />�,u e°ceeT- 6. 0 It oJ2 J u+,) iUe <br />a4ro.c4JnG 14 P5 tV70,V fir. <br />-gip T/S 5 -to Fey <br />MY. 13 ys �4ve- . <br />\`3 <br />LEAD AGENCY DATE <br />�y <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICE3/ENVIRONMENTALHEALTH DIVISION (EHD) POLICY #92-007, ORDINANCE CODE OF SAN <br />JOAQUIN 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 FILE&RECPRDS REVIEW ARE BY APPOINTMENL ONLY. .APPOINTMENT'S ARE <br />ARRANGED BY CALLING (209}468-0340. OFFICE HOURS FOR APPOINTMEi'i'TS AM 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 ANON-RfiFUNDABLBbMSPT OF $78.00 <br />IS REQUIRED. DEPOSITS. WILL BE RETURNED TO THE APPLICANT IF THE.FILBS/RECORDS ARE <br />NOT AVAILABLE WITHIN THE CUSTODY OF THE mm. <br />4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS TSE TOTAL PILE REVIEW PEE <br />CHARGE: THE BALANCE OF THE CHARGES ARE DUE AND PAYABE.Sn= TO REVIEWING TjW <br />DOCUMENT(S). <br />3. Pt7$LIC FII.ES/R$C=S NOT RETURNED IN' THE SAME CQNDITYON V L WB <br />CORRPC!'f ' BY THE' ice" STAFF AT THE MUM OF TR APM .�� iiffm ADDITIONAL <br />SERVIM VU.L BE BIi.LgV,'M THE APPLICANT FOR PAYMENT' ' <br />6. COMNALPUBU( FIS&sECORDSSHALL'NOTBEREMOVED�FROMTFtii'EHL)PRMv02S <br />SIGNATURE OF RELEASING OIT <br />FH 00 14 (REV 12/92) <br />T f.J C1?"CrryJ'TrT '+i <br />DATE <br />r v"ryJ r iJr:V`.M rCC 1�OT�(_'I7 <br />i _ <br />