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SAN JOAQUIN COUNTY 0 '3 6/9 y <br /> PUBLIC HEALTH SERVICES <br /> E-MONNff.NTAL HEALTH DTVLSION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �B /VA� PHONE NO 6209) yb'7-lCOlo <br /> ADDRESS <br /> AGENCY NAA iJ E f PHONE NO <br /> ADDRESS '1QQ r, A <br /> FILE ADD RF55 <br /> LFAs AQFNCY DATE <br /> i Z urEsr GoCK�Fn�� sT� aD/ �Cc f-i�v� -za-9s <br /> •VGaoevr�frn) ST Gam/ —NC Cles d7AV G� /Z <br /> 2--24 <br /> 3. 3/5 AJ ANsr Z45bz G4 - iz z�S9 <br /> y, z// Al 1sT <br /> 4421 <br /> THIS NOTICE 1S SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONDfENTAL HEALTH DIVISION (EHD)POLICY x'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 1,1AX1TfUAf OF TEN (10) PRE) <br /> USE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINT7,IENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTIIENTS 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. T14E E IDENMFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BVALANCE 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 RENIOVED FRO <br /> DS THE EHD PREA9SES. <br /> SIGNATURE OF APPLICANT DATE 'I/�'fic/ <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br />