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0 SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTII SERVICES <br /> ENVIRONMENTAL IIEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT 7 r CtCl PHONE NO S i0 l yam ` <br /> ADDRESS <br /> AGENCY NAIVIE � .7 - PHONE 140 <br /> ADDRESS <br /> FILE ADDRESS <br /> c ' (� l <br /> f Ci <br /> T 3�7 Lf/• G U!'Tr'c� �/ P <br /> 7/ <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY#92 CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLU t VATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> �'1 t <br /> .IAN 2 8 1994 <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQ�MTJOAQUIN COUNTY <br /> puat'1G HEALTH 9ERVIGFS <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTVf=&WALKA0TAIQWA0TS 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-REFUNDABLE 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 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 FILESfRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF TILE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> -";?7,-7 1 0 1-7 7� - --I <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/42) <br />