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.,� COP <br /> SAN JOAQUI N COUNTY <br /> PUBLIC HEAINT1 SERVICES <br /> F_NVIRONN ENTAL HEALTH DIVISION <br /> PUBLIC RECQQRD5 RELEASE APPLICATION <br /> SIJZa1 irte pe4l rsar\ <br /> APPLICANT )/�� <br /> �,,, � E;ou ir8f% 8n% a j PHONE NO (-[(p1]-160 <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILA ADDRESS I.nAD A(;ENCY D. ATts <br /> -S <br /> Dot 11 <br /> amme�' S <br /> X51 e <br /> nn <br /> I at <br /> L08F C,rou„�UkL7-Q.r Drrit 7� <br /> THIS NOTICE 1S SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD)POLICY 9924)07, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MA 611UM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILFSIRECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMB41S ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINT-m ENTS 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 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE WITIUK THE CUSTODY OF THE EHD. <br /> 4. TILE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIO TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILFS/RECORDS NOT RETURNED DI THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM TEE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE o7.3 <br /> SIGNATURE OF RELEASING OFFIQ DATE C <br /> FII 00 14 (REV 12/92) <br />