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SAN JOAQUIN COUNCY <br /> PUBLIC HEALTH SERVIC&S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPIICANI l PxONE NO sl-aa7 <br /> AF)DRES5 3,SU f) ()nc_ l f tZ r"nEu, <br /> AGENCY NAME r T- PI NH NO <br /> ADDRESS <br /> T1L$ ApURESS DAT'H <br /> A WDL <br /> a-ZLEL F 1�)r rn(�Lf Y11Cn <br /> ITUS NOMC13 1S SUBJECT TO VIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SARVICIMENVIRONMENTAL HEALTH DIVISION(Oft))POLICY 992-GUI,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MID PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER RPQUEST. <br /> 2. PUBLIC FILESI"CORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> APPANGBD BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARB SCHEDULED <br /> MONDAY'1HRU FRIDAY 13XCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND I:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A —OOM813 NDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED, DEPOSITS WILL BE RETURNED TO THE APPLICANT IF 111H FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE BED. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CIIARGH. THE BALANCE OF THE CH, RGFS ARE DUB AND PAYABLE p$LQ$TO REVIEWING T$B <br /> DOCUMENT(S). <br /> S. PUBLIC FILESI"CORDS NOT RETURNED IN THE SAME CONDMON AS RECEIVED WILL BB <br /> CORRECM BY THE Bill) STAFF AT THE SXPaNSE OF TIIB APPLICANT. TTIIS ADUPIIONAL <br /> SERVICE WILL BE BILLED TO TH13 APPLICANT POR PAYMPNT. , <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> MONATURE OF RPLEASING OFFICIAL_ DATE , <br /> UH 00 14 (REV 12/92) a <br /> �� z0'd E6SETSST 01 I.10?J3 6JUSE:TT 1661-9c-A0 <br />