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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTII SERVICES 577 _ <br /> ENVIRONMENTAL IIEAI:I'H DIVISION <br /> � / /PUBLIC RECORDS RELEASE APPLICA'T'ION �" <br /> APPLICANT �/r /�(4 / PHONE NO ?6Y'02W <br /> ADDRESS / <br /> AGENCY NAME _ <br /> —__PYLS - PH A 1 dZsz.G n..rr.��PHONE NO <br /> ADDRESS 5-�- r.�� �SA-c+�.�YKF>•r�a <br /> rtv� - <br /> MLD AD—QRPSS LPAD A(:FNCY DAA <br /> vl 3 y0 <br /> �d33 E `J h a 255 -k -1� Gl Si •r <br /> 4v3 S S• f�cvYaif4 577¢r�J -s 1 ; R'l+42 ✓ <br /> J7 n - r <br /> �r{���kCIW-f4. 1B�yR'r!•- '1 •1 ` f� %rf <br /> 1111S NOT7CL• IS SUBJFCP TO IIJH REQUIREMENTS IDENTIFIED IN Till PIIBIIC HEAj,TH <br /> SERV ICL'SIrNVIRONMTNTAL HEA LTTE DI VISION (F111)) POLICY*92-007. ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. EHD FFF_5 AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND ME EVIDENCE CODE. <br /> I. A MAXIMUM OF TF14 (10) PREMISE ADDRESSES PER REQUEST'. <br /> 2. PIMI-IC 1-(I.ES'RECGRDS REVIEW ARF HY /t PPO1NT_l(�,{�JT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (109)468-0740. OFFICE IIOURS FOR APPOINTMENTS ARE SCHLDULED <br /> MONDAY 'MRU FRIDAY IXCLUDING HOLIDAYS, 8:00 A.Al. 'IO 12:00 NOON AND I:W P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPIICA'IION AND ANON-REPUNDAM Ii DI:PO•SIT 01=$79.00 <br /> 1S REQUIRED. DEPOSITS 'HILL HE RGI-URNED 1.0 'DIG APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WIl'HIN Tl3B CUSTODY OF THE FJ{D. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL F=ILE REVTFW FEE <br /> CHARGE. 171E BALANCE OF T11E CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUSIENT(S). <br /> 5. PUBLIC ITLFS/RECORDS NOT RC•I'URNED IN THE SAME CONDITION AS RECEIVED MLL BE <br /> CORRECTED BY TIM END STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILM. RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT 6dtj& DATE <br /> Sl(3NAT(JRE OF RELEASING OFFICIAL DATE <br /> Elf 00 14 (REV 12/92) <br /> .1. <br /> u � <br /> i" 7\\ <br />