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• SAN JOAQUIN COUNTY • G - <br /> PUBLIC HEALTH SERVICES %1r� <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPI.ICANT�t� l t _g PHONE NO 472— 4 2 <br /> ADDRESS <br /> AGENCY NAME PITONS NO <br /> ADDRESS <br /> FLL.B ADDRESS LEAD AGE-NC DATE <br /> �'nr�- ryy4 <br /> RMITln <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIPIED`LN':THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007;ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHDFEES 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)46&0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <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 FII.FS/RECORDS ARfi , <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 PAYABLEPRI TO REVIEWINTTHE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE t" <br /> CORRECTED BY THE EHD 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 EHD PREMISES. <br /> SIGNATURE OF APPLICANT ;r-4 DATE 2 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> YY EH 00 14 (REV 12192) _ <br />