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�142-as e_ 0139 <br />SAN <br />PUBLIC OEFALTASERVICES <br />ENVLEioNTfEJv-TALSEALTTiDIVISION T "� <br />FuBLIC RECORDS RELEASE APPLICATION <br />�. PIICANi U PHONE NO S <br />AGENCY <br />TF -,AD AGENCY <br />FV -316 <br />THJS NONCE IS SUBJECT TO TI;E REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SntVICES/EI+VMONI.I ENTAL Y;E.ALTH DIVISION (EH D) POLJCY , 92-007, ORDINANCE CODE OF SAN <br />)OAQUIN COU\TY, E1;D FEES AND SERIICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND Tr?= EVIDENCE CODE. <br />A MA) ]MUhi OF TE,I (10) PREI,'IIS= ADDRESSES PER REQUEST. <br />2. PUELIC EILES/RECMDS REVIFW AU BY APPOINJTNIENT ONLY. APPOINTMENTS ARE <br />ARRANGED $Y CALLING (209x58-0340. OFFICE HOL7RS FOR APPOINIAIENTS ARE SCHEDULED <br />? iONDAY THRU FRIDAY E CLUDING HOLIDAYS, S:00 A.M. TO 12:00 NOON AI1:00 P.M. TO 430 <br />P.M. <br />3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON- SD BLE DEPOSIT OF S78.00 <br />IS REQUIRED. DEPOSITS WILL BE R; TURNED TO TY,E APPLICANT 1F THE F1LEMU-CORDS ARE <br />NOT AYAILAz-L E kVITIUN TI;E CUSTODY OF THE EHD. <br />4. THE ABOVE IDENTIFIED DEPOSIT 1S APPUED TOn'ARDS THE TOTAL a �`R � AG E <br />CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR <br />DOCUMENT(S). <br />5. PUBLIC F]LES/RECORDS NOT RETURNED IN THE SAI.IU CONDTI70N AS RECEIVED WILL BE <br />CORRECTED BY THE EHD STAFF AT T14E EXPENSE OF THE APPLICANT. T}IIS ADDITIONAL <br />SERVICE WILL BE BILS> D TO THE APPLICA.YI' FOR PAYMENT. <br />6. ORIGINAL PUBLIC FIL.FS/RECORDS SHALL NOT BE REMOVED FROM THE EHD PRET➢SES. <br />SIGNATURE OF RELEASING OFFICIAL <br />iii 00 14 (REV 17192) <br />DATE <br />�o- wr• r z(� cn <br />