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SAN JOAQUIN COUN'I'y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANTADDI2PSS TG N{'_wU'.- FHONE NO �) I� y 6'1-3 S�� <br /> ;� _ v T 85 5 <br /> AGENCY 31 <br /> ADDRESS PHONE NO <br /> aLIR— DRESS LEAD AGENCY <br /> DATH <br /> ��"-- <br /> � <br /> Dom., d 2 r' 6 <br /> r 1 dL 41 <br /> THIS NOTICE iS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(IIID) POLICY M-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, SPATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1• A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. <br /> A 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 T IIRU FRIDAY EXCLUDING HOLIDAYS, 5:00 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 AVAH.ABLE WPrEN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTUgED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGSE. THE BALANCE OF THE CHARGES ARE DUB AND PAYABLE PRIOR TO REVIEWING Tim <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EM STAFF AT THE EXPENSE OF THE APFT]CANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT, <br /> 6• ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM T14B IIID PREMISES. <br /> SIGNATURB OF APPLICANT <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> � J c••,•-ciao+r_* -. , <br />