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r. <br /> SAN JOAQUIN COUNTY q 00 <br /> PUBLIC HEALTn SERVICES y <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLLIC RECORDS RELEASE APPLICATION / Q <br /> APPLICANT �7 el- r O NQ <br /> ADDRESS i- r� <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LAAD AGENCY DATA <br /> 1 <br /> THIS NOTICE IS SUBMCT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICNS/ENViRONMENTAL HEALTH DIVISION(131ID) poUcY k92MI, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC F1LBS/RECORDS REVIEW ARs BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANG13D BY CALLING (209)469-0340. OFFICE HOURS FOR APPOINTMENTS ARB SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 9:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION A EPDSfiI OF $79.00 <br /> �� nH� Iryrymcv�n�inr. <br /> AIQT AVAIL eat nn,rq;,,„��"'I;�ovoLi�'�l�-Tkll3-$H9— <br /> 4. 111E Ano"B tDemT 'ri3nm' OMT-iS>iRW st) To DS {aIE T9TAIrF7L R8VIEW FEB <br /> .IYtP <br /> �11TII <br /> S. PUBt1C FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CoRRECTED BY THE IiHI) STAFF AT THE 13XPENSS OF THE AFPIICANT, THIS ADDITIONAL <br /> sERVIcE WILL EE BtLLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM T14 MD PREMISES- <br /> 6. <br /> L <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />