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SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTA-L HEALTH DIMION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPTICANT TG, PHONE NO q 1�/ sl o <br /> ADDRESS P ZR T b ,tom ✓Z Sls l gs�15 <br /> AGENCY NAM& PHONE NO <br /> ADDRESS <br /> FILE ADDRMS LEAD AGENCY DATE <br /> �I 6 rnnT <br /> �10 <br /> c <br /> -"US NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQULN COUNTY, EHD 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 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 I2:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSYT OP 578.00 <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. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARD � THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING TFIE <br /> 5• PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDnION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDTIIONAL <br /> SERVICE WILL BE BIIJED TO THE APPLICANT FOR PAYMENT, <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />