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I kJ�rJ2t-I yyb 5:kJbrr+i rrurvi '+uc ivy, cv�. .:r.�u v„w , <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES {/ r <br /> ENVIRONN ENTAL IiEALTH DIVISION <br /> PUIILIC RECORDS RELEASE APPLICATION �y <br /> APPLICANT 0, PHONE NO <br /> ADDRESS / � P za�MJ4 <br /> AGENCY NAME �� s f PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY BATH. <br /> -poi Al gnr, :5NJC ki /V- -� <br /> l4q, u) s i <br /> lD7)0 . i f c 1' lJ <br /> W L(aP�j � rr <br /> 97115 NOTICE IS SUBJECT TO TIIE REQUIREMENTS IDENTIrMD IN THE PUBLIC HEALTH <br /> SERVICES/FNVIRONMENTAL HEALTH DIVISION (FII D)POLICY*92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THIR EVIDENCE CODE. <br /> L A MAXIMUM OF TEN (I0) PREMISE ADDRESSES PER REQUEST. <br /> 2. PIIRI.IC F11.FSJRECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARF- <br /> ARRANGED <br /> REARRANGED BY CALIANG (209)868-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 13:00 NOON AND 1;00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPIJCATION AND A NOM-RL•FL IN )L,�(B j DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED 9'0 TIIE APPLICANT IF THE• FILES/RECORDS ARE <br /> NOT AVAILABU WITHIN 711E CUSTODY OF THE BUD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE_ THE BALANCE OF THE CHARGES ARE DIJE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL Be <br /> CORRECTEr) BY THE FAD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE E1iD PREMISES, <br /> SIGNATURE OF APPLICANT / DATE <br /> SIGNATURE OF RELEASING Or FICIAJ\� ILIAA Uco DATE <br /> EH 00 14 (REV 12/92) <br />