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SAN JOAQUIN COUNTY MIBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION PUBLIC RECORDS RELEASE AI'PLICATION APPIlCANT MATT NO LD PHONE NO ADDRESS AGENCY NAME PR R K � -N V R 1 R n N M E NTA L PHONE NO (O2 0) ADDRESS u l S 5 R I R LTC) GT P I TrS 9 U R FILE ADDRESS LAAD AQENCY DATH 221 {40LLY DRIVE- 30l EAST GRANT LINE --- 2a8 Wi=S 1 GRAMT- LINE- 2- 713 INE275 FAST GRANT LtNF__ 3c,n FAST sT, L-0r M W I199 a ENVIE PERMT I SERVIGFS THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH SERVICES/ENVMONMENTAL HEALTH DIVISION(EHD)POLICY#92-001, ORDINANCE CODE OF SAN JOAQUIN COUNTY, EHb FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, GOVERNMENT CODE AND THE EVIDENCE CODE. 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY CALLING (209)468-0340. OPMCE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 P.M. 3. A PUBLIC RECORDS RELEASE APPIICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RBCORDS ARE NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. 4. THE ABOVE IDENTIPIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE CHARGE. THE BALANCE OF THE CHARGES ARE DUB AND PAYABLE PRIOR TO REVIEWING THE DOCUMENT(S). S. PUBLIC PlLM/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL,BE CORRECTED BY THE EMI) STAPP AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE APPLICANT POR PAYMENT. 6. ORIGINAL PUBLIC FI.ES/REcoRDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. SIGNATURE OF APPLICANT I DATE --- _--__--, (� SIGNATURE OF RELEASING OFFICIAL DATE v` EH 00 14 (REV 12/92)