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9-27-19Y6 3:29"1 I-FCU 'AUtt I Vl. <br /> -� <br /> SAN JOAQUIN COUNTY <br /> PUIILIC HEALTH SERVICES <br /> ENVIRONJVTENTAL HEALTH DIVISION Flo aY� <br /> PUBLIC RECORDS RELEASE APPLICA.TION <br /> APPLICANT PHONE NO 7b� a <br /> ADDRESS 1003 e* <br /> AGENCY NANFHPHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY PAT$ <br /> S bad MAA C'�r ��c I <br /> Ill �{lIJ S{rES� XIFJ�cGc <br /> 7'IIIS NOTICE. 1S SUBIECC TO TEIC REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/FNVIRONMENTAL HEALTH DIVISION(MID)POLICY#924)07,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID 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 /> 2. PUBLIC FILES/RECORDS REVIEW ARE nY AOINTMENT ONLY, APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMEN•LS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND I:00 P.M..TO 4:30 <br /> P.M. <br /> 3- A PUBLIC RECORDS RELEASE APPLICA'nON AND A NON.REFUNDAMA E DEPOSIT OF $79.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED T'0 T715 APPLICANT IF TIDE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN TI1E CUSTODY OF THE EIID. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE FRI TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME COND17ION AS RECEIVED WILL BE <br /> CORRECTED BY THE FHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADF)MONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRF_CORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES, <br /> SIGNATURE OF APPLICANT DATE Q-L 94 <br /> SIGNATURE.OF RELEASING OFFICIAL DATE <br /> Ell 00 14 (REV 17/92) <br />