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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH <br /> SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE N069/6)G 3 1 -`I y 5> <br /> ADDRESS 3a 3 urt Y c 131 v ul Cr4 2S7gz <br /> AGENCY NAME_ X—A A n yr m PHONE NO <br /> ADDRESS i <br /> FILE ADDRESS LEAD AGENCY DATE <br /> I <br /> Ca SauW <br /> Ea s.'� LZ)-uIsr <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007,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 /> r 2. 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 TRE <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THS FIL <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. IVED <br /> .1111 12 1 . ; <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOT <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIgam94 S <br /> DOCUMENT(S). <br /> FNVIRONMENTAL HEALTH DIVISION <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE MMD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDLTIONAL. <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 -7--7 'q 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> b EH 00 14 (REV 12192) <br />