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SAN JOAQUIN COLI;TTY <br /> PUBLIC BEALTH SERVICES' '' <br /> E%%VlRONNf&NTAL E kLTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAN'T�V�Serl�esso+� PHONE NO (�09) LI�¢�I- I00(o <br /> ADDRESS <br /> AGENCY NAIN113 l�,enn� Cx+dEn��C•Amgn±t( PHONE NO <br /> ADDRESS 1j M5: .41 ltl/ssn /lla✓ ��zr f fe r, l 9sao� <br /> FILE ADDRESS IZA.D AGE_tiCY DATE <br /> od <br /> 200 6m" <br /> THIS NOTICEISIS�ECT TO THE REQIJIREl%iENTS IDENTIFIED IN THE PL'EUC HEALTH <br /> SERVICF•S/ENV(RONNIENTAL HEALTH DIV'SION (L•HD)POLICY ;92-007,ORDINANCECODI'_OF SAN <br /> JOAQUIN COUNTY, EHD FEFS AND SL•RNICE CHARGE RESOLUTIONS. STATE WATER CODE. <br /> GOVERNMENT CODE ANDTr.L• EVIDENCFCODE.� <br /> 1. A ',f;LX]�tUSf OF Tic.`i (10)?REN <br /> fISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESIRECCRDS REVIEW ARE BY ApPOIN AfjTAPPOIN-a NTS AR <br /> ARILLNGED BY CALUNO (-0>)463-0340. OFFICE, HOURS FOR APPOINT,SENTS ARa SCHEDULED - <br /> MONDAY THRU FRIDAY E\CLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND I:00 P.M. TO 4:50 <br /> P.M. <br /> 3. A PL'BUC RECORDS ULEASL= A,PPUCATION A';D A NO;I•RGFUNDABLE DEPOSIT OF 573.00 <br /> IS REQUIRED. DEPOSITS R;LL. BE RM- tt'4ED TO THF; APPLICANT IF THE F1LISiRLCORDS ARE <br /> NOT AVAILABLE WITHIN VE CUSTODY OF THE IJiD. <br /> 4. TTifi ABOVE )DL-NTI'MED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CrlA4GE_ 71iE 3AL'+.NCE OF iliE CHARGES ARE DUR A.ND PAYABI.L PRIOR TO REV] TI 1: <br /> DOCUME,NT(S). <br /> 5. PUBLIC FILGSIRECCRDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EMD STAFF AT'THE EXP -LASE OC THE APPLICANT. THIS ADDITIONAL <br /> SERVICE "MLL BE BILLED TO THE APPLICANT]FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC ELESIRECOADS SHALL NOT BE RE.10VED FROM THE EHD PREMISLS. <br /> SIGNA'IVRE OF APPLICANT �� DATE <br /> S)GNATUR50F RELEASING OFFICl DAT <br /> IJ{ 00 14 (REV 11/42) <br />