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—� SAN JOAQUIN COUNTY <br /> ES <br /> ENVIRONMENTAL EMADIVISION <br /> Y PUBLIC RECORDS RELEASE APPLICATION <br /> I CANT �g�T til "r7 PHONE N !Q Ir AA&E <br /> r ju ADDRESS 0 AA 4VI aw t ALTH <br /> AGENCY NAbM JI PHONE NO ERVICES <br /> ADDRESS �M_T /t rt{� /Z2 n i W7!j Mlo , elw 9sa C) <br /> M13 ADDRESS LEAD AGENCY DATE <br /> p 1`" 6vL kJG c�L <br /> ��� � 7-✓ Gvc fGu - 5-e�rc� Stm-�.._ t�S r ter— � <br /> 2114 wJ �f/� n .l rarr-�ce�f �ounr� <br /> ACJ <br /> EDi� Ec/l r <br /> THIS NOTICE IS SUEJECT TO THE REQUIRE-MENTS IDENTIFIED IN THE PU91JC HEALTH <br /> SERVICES/ENVJRONMENTAL HEALTH DIVISION (EHO)POLICY:92-007,ORDINANCE-CODE OF SAM <br /> JOAQUIN COUNTY, E4D FEES AND SERVICE CHARGEE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND T,- EVIDENCE CODE. <br /> I. A MA)iMUM OF TEN (10) PRE?,QSR ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECO.~DS REVIEW LRE BY APPOiNTmENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALI]NG (2O=)458-03:0. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAYTHRU FRIDAY EXCLUDING HOLIDAYS, S:03 A.M.TO 12:00 NOON AJND 1:W P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLc DEPOSIT OF S78_00 <br /> IS REQUIRED. DEPOSITS WILL BE RFTUIU`:ED TO THE APPLICANT IF THE FII FSlRECORDS ARE <br /> INOT AVAILABLE MTHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REN9FW FEE <br /> CHARGE. THE BrtUNCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO RE'rIERING THE <br /> DOCV MENT(S). <br /> S. PUBLIC FIL.E.S/RECORDS NOT R IR.\ED IN THE WSE CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERYICE WILL BE BILIFT�TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS%IAT i-NOT BE RFASOVED FROM THE EHD PREMISES. <br /> SIGNATURE OP APPL2CANT DATE <br /> SIGNATURE OFRELF_ASING OFFICIAL DATE <br /> EH 00 14 (REV 12192) <br />