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b-�-1 y98 4: 1 M FR�DVAVCED GEOENV IRCN14 2M d571• _`/ �L P <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONIAENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT liG PHONE NO ld&� <br /> ADDRESS UV <br /> AGFNZCY NA1v( PHONE NO <br /> ADDRESS <br /> OLEADDRPS/[Sl�p� EAD A E, Y DA ^_ <br /> G) <br /> 5 <br /> 1liIS NO'T10E IS SUBIECT TO 111E REQUIREMENTS IDENTInI-D IN I-FLU PUBLIC HEALTH <br /> SERVICGS/L'•NV IRONMENT.41.HEAI.TII DIVISION (Fill)) POLICY k92-007, ORDINANCE cooE OF SAN <br /> JOAQUIN COUNTY, MID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOV ER.NMENT CODE AND THE UVIDENCE CODE. <br /> 1, A NIAXIMUNI OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PIIRIJC PILES/RECGRDS REVIrW ARE BY ,kPI'OINTNjjiar ONII.Y• AProf N'1'NiENI'S ARE <br /> ARRANGED BY CALLING (209)468-03-;0. OFFICE IiOURS FOR APPOINTNIENTS ARE SCI-H?RULED <br /> MONDAY THRU FRIDAY FaCLUDING HOLIDAYS, 3;W A.M. TO t'_:00 NOON AND lack) 1'.Ni.'TO 4:30 <br /> P.M. <br /> 3. A PUaUC RECORDS RELEASS APPLICA"CION ANDA 'I OF 579.00 <br /> IS REQUIRED. DEPOSIT'S w1LL BE RUl-URNED-TO 711E APPLICANT 1P 1'HE FILISS/RECORllS AAL': <br /> NOT AVAILABLE WITHIN T1IE CUSTODY OF THE M13- <br /> 4. THF. ABOVE [UL'NTIFIED DEPOSIT 1S APPIJED TOWARDS THG 1-OPAL FILE REVIEW FCfi <br /> CHARGE. 'THE BALANCE OF 111E CHARGES ARE DUE AND PAYABLE FRIOK 'LO REVIEWING Tlifi <br /> DOCUMENT(S). <br /> 5. PUBLIC FILESfRL•CORDS NOT RETURNED IN 114E SAME CONDITION AS R ECCIVED RRLLBE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLER TO THE APPLICANT FOR PAYMENT_ <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVE[? FRONL THE EHD PRENUSES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OTPICIAL DATE <br /> EH 00 14 (REV 12192) f <br />