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Mg'4 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTH SERVICES <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> /I <br /> APPLICANT ;! 4dwy H. /CH/E r PHONE NO 4T 7*6- <br /> ADDRESS //OG S G4 5'42 /'n;o <br /> AGENCY NAME _PHONE NO <br /> ADDRESS <br /> FILEADDRF LEAD AWINCY DATE <br /> i7�o �/ • IiYofi�WM� <br /> �S"IL BltoAcwrt� <br /> / 705' 11 Ale alf <br /> iSoo 4-KA Rcoo Ra <br /> �0?2. 1_47chtoo 1e0 <br /> TINS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THfi PUBLIC HEALTH <br /> SFRVTCESIENVIRONMENTAL HEALTH DMSION(EHD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E14D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 1. <br /> PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS 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$78.00 <br /> IS REQUIRED. DEPOSITS WILL. BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CIIARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5, PUBLIC FILES/RECORDS NOT RETURNED IN 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 THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FH 00 14 (REV 12/92) <br />