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... SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SER'V'ICES <br />ENVIRONMENTAL HEALTH DIIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT Nil G' PtAEL % —1-2C- PHONE NO <br />ADDRESS <br />AGENCY NAME 44C_KUL/c-/ F171 Y -A, at, -r-.r. PHONE Nn Uir [19i -7/i,� <br />r �- <br />lio S• <br />., <br />• t -iii �, . <br />••• � • a r r �• « • .• •rte <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 BYOAP FNT 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 12:00 NOON AND I:OO P.M. TO 4:30 <br />P.M. <br />3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPS OSIT OF $78.00 <br />IS REQUIRED. DEPOSITS WILL BE RETURNED TO THB APPLICANT IF THE FILESIRECORDS 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 CHARGES ARE DUE AND PAYABLE FRIOR TO REVIEWING THE <br />DOCUMENT(S). <br />S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE jAPPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT.. <br />6. ORIGINAL FUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT <br />DATE <br />SIGNATURE OF RELEASING OFFICIAL DATE <br />EH 00 14 (REV 12/92) <br />