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�y- a 0 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> EN-VIRONMFNTA.L HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCAxT_ i4�Cc��e ed �Q si�,ry n�p�PHONE <br /> ADDRESS ¢01 5�! HIi/saw (,tea v - pxoNa xa <br /> AGENCY NAME P�/S- /�/� <br /> ADDRESS <br /> FUX ADDRESS r_pA AGEI�ICY . <br /> THIS NOTICE IS SUBJECT TO THfi REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESfFNVMONMENTAL HEALT14 DIVISION(EMD)POLICY 992-007.ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. EHD FEES AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUAi OF TEN(10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESJRECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. 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 PUBUC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF S78.00 <br /> IS REQUIRED. DEPOSITS WILL.BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE WITHIN TIME 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 DUFF AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC F ILESIRECORDS NOT REMNED IN THE SAME CONDITION AS RECEIVED RILL.BE <br /> CORRECTED BY THE TESD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILI Fn TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRfiCORDS SHALL.NOT HE REMOVED FROM THE END PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> 2H 00 14 (REV 17192) <br />