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SAN JOAQUIN COUNTY <br />PEML1C HEALTH SERVICES <br />ENVIRONMENTAL IIEALTII DIVISION <br />_ . <br />RECORDS RELEASE APPLICA'T1ON <br />APPLICANT' _ _ �M C - l(�y_-,�1% Wil+ PFIONE NO <br />ADDRU.SS-_'�i n -Zt 1. k <br />AGENCY NAM H— PHONE NO <br />A WAU SS <br />I'll 111.Ap-p-gI1.59 LEAD AGFNCY pA77i <br />JA{,.{ 511t4 <br />&SEt!IQ <br />'I711S NIYIICH IS SUBIECI' TO TIIE REQUIRFMIiNTS IDENTIFIED IN 111L• PUBLIC HEALTH <br />SERVICFSIEI4VIRON163ENTAl,:1EALTH DIVISION (MID) POLICY !92-0()7. ORDINANCE CODE OP SAN <br />JOAQUIN COUNTY. EIID FEES AND SFRYICE CHARGE RESOLUTIONS, STATE WA'T'ER CODE. <br />OOV F.RNmew CODR AND THS EVIDENCH CODE. <br />A MA)CIMUM OF TM (10) PREMIS9 ADDRT•SSES PER REQUEST. <br />2. PUBLIC f71.MWARCORDS REVIEW ARP. RY APPSHNTbIfiNT OLJ�l'- APPOINTMENTS ARE <br />ARRANGUI) BY CALLING (209)468-0340. OPFICR )IOURS FOR APPOIN J7IEN1'S ARE SCULICULED <br />MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, S:OU A.M. TO 12:00 NOON AND 1:00 P.M.'TO 4:30 <br />PAL <br />3. A F'IJBL3C IIECORI),S RL•LEASE APPUCA-11014 ANI? A L! TG!'lJN )AI{1-E DIiPOSIT Ol* S78.W <br />IS REQUIRED. DEPOSTI'S WILL BE RGTVRNED TO TIM APPLICANT 1F THE FLLESlRECORuS ARE <br />NOT AVAILABLE wn-nim TIRE CUSTODY OF 1118 rain <br />4. 'TIM.. ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS TUU TOTAL FILE REVIEW FEE <br />CHARGE. 'REE BAL%NCE OFTIM CHARUFS ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br />DOCUMENT(S)• <br />S. PUBI-It' IIILFSIRECORDS NUI' RETURNED INT 1IE SAME CUND111ON AS RECEIVED WILL 89 <br />coRRiiC'IED BY THP FHD %rAFP AT 111H EXPENSE. OF TIIF APPLICANT- THIS ADDTITONAL <br />SEAVICE WILL BE BILLED TO'111E APPLICANT FOR PAYMENT. <br />6. ORIGINAL PUBLIC IrLItGRECORDS SHALL NOT BE REMOVED PROM T11E E-110 PREMISES. <br />SIGNAITJRE OF APPLICANT _ _ DAT13 <br />SIGNATURE OP R EI,EASIN13 OnFIC1AL DATE <br />Ell OU 14 (REV 12/92) <br />