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SAN JOAQUIIN COUNTY <br />� /3, S <br />PUBLIC HEALTH SERYICF-S 3 y <br />ENVIRONMENTAL HEALTH DWI,SION <br />PUBLIC RECORDS RELEASE APPLICATION <br />•PUCANT S hr- A10, I V -C r —PlIONE• • r �: <br />ADDRESS <br />AGENCY NAREWmalro-TwIrom it. <br />ADDRESS <br />FI" ADDRESS LEAD AGENCY <br />200 3 E 11an-? er!�- <br />THIS NOTTC$ 19 SURWCT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/HNVWONMENTAL HEALTH DIVISION (RHD) POLICY #92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD FM AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />(30VERNHWT CODS AND THE EVIDENCE CODS. <br />1. A MAMMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FILESIRECOIIDS REVIEW ARE BY APPOINTMENT ONLY, APPMITMENTS ARE <br />ARRANGED BY CALLING (209)468-0340. OFF[cB HOURS FOR APPOIN'T'MENTS ARE SCHEDULED <br />MONDAY 1MIJ FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:90 NOON AND 1:00 P.M. TO 4:30 <br />P.M. <br />3. A PUIjUC RECORDS RELEASE APPLICATION AND A NQN`-REFUNP-&BLE DEPOSIT OF 578.00 <br />IS REQUIRED. DEPOM-3 WILL. DR RETURNED TO THE APPLICANT IF THE PU-ESIRECORDS ARE <br />NOT AVAILABLE Wrn-LIN THE CUSTODY OF TTNB E11D. <br />4. T1319 ABOVE IDENTIFIED DBP05TT I9 APPLIED TOWARDS THF- TOTAL FILE REVIEW FEE <br />CHARGE. THE BALANCE OF. IIIH CHAR(30 ARE DUE AND PAYABU M= TO REVIEWING 'II -IE <br />DOCUMENT(S). <br />5. PUBLIC FiLESIRECORDS NOT R sF7U LNED IN TELE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY TUE EHD STAFF AT THE EXpENSB aF 7116 APPLICANT. THIS ADDITIONAL <br />5ERVTCE WILL BE MI LPD TQ TIM ikPPLICANT FOR PAYMENT. <br />6. ORIGINAL PUBLIC FMZSIRECORD.9 SHAH. NOT BE REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT <br />SIGNATURE OF REI FA SING ( FICIAL Lt11 D <br />EH 00 14 (REV 12192) <br />