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SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONM 'gTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />AGENCY r_• NKE TO <br />ADDRESS <br />< T�� <br />�1•.. S%�� • • . 1l... u1... 9NIS" <br />11... .. • :�..•� 1 <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICBS/ENVIRONMENTALHEALT'H DIVISION (EHD) POLICY #92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />A MAXIMUM OF TEN (10) PREMISE ADDRESSES FER REQUEST. <br />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 -REFUND BIB DEPOSIT OF $78.00., <br />IS REQUIRED. DEPOSITS WILL BE RETURNED TO THB APPLICANT LF THE FILES/RECORDS ARE <br />NOT AVAILABLE W17HN THE CUSTODY OF THE BHD. <br />4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br />CHARGE. THE BALANCE OF THE CHAYIGFS ARE DUE AND PAYABLE TO REVIEWING THE <br />DOCUMENT(S). <br />5. PUBLIC FILESI"CORDS NOT RETURNED IN IRE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE ERD STAFP AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br />6. ORIGINAL PUBLIC FILESMECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT I DATE <br />SIGNATURE OF RELEASING OFFICIAL <br />EH 00 14 (REV 12/92) <br />DATE <br />25'd 26SETSST O1 Ijod-3 WySz:TT £66T -9z -Bo <br />