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,. SAN JOAQUIN COUNTY 1 <br /> PUBLIC HEALTII SERVICES <br /> a ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT LAu-�+-e 1�'+'�G�-►a PHONE NO �ti <br /> ADDRESS !a3 C�c9-� �P• �t S8 (S <br /> AGENCY NAME PHONE N <br /> ADDRESS <br /> FILE ADDRESS <br /> LEAD AGENCY DATE <br /> a 150 Lo <br /> (p� +- NT - — <br /> CA- VE 13 <br /> 19 <br /> cobAN JO' <br /> i <br /> E�IYIRQNMENTAL HEALTH DIVISION <br /> - i <br /> I <br /> 1111S NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> { SERVICES/ENVIRON MENTAL14EALTII DIVISION (EHD)POLICY.492 007,ORDINANCE CODE OF SAN <br /> { JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> k GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> i <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE 13Y APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:0.0 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> I P.M. <br /> 1 <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. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CAARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> k <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION A5 RECEIVED WILL BE <br /> ? <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> 1 SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. I <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> I <br /> SIGNATURE OF APPLICANT DATE R <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Ell 00 14 (REV 12192) <br /> i <br />