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� '1tll�l <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />Em moll. Alp LIMA, <br />THIS NOTICE IS SUBTECT TO THE RHQUIREMFNTS ID&NTMED IN THE PUBLIC REALTH <br />SERVICESIErMRONMElYTAL HEALTH DMsjoN (.FID) POIlCY #9Z-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EFM FEI=S AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />J <br />1- A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />Z. PUBLIC FILES/RECORDS REVIEW ARE BY SENT 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 I:00 P.M. TO 4:30 <br />3- A PUBLIC RECORDS RELEASE APPUCATiON AND A NON-P.EFUNDABT F DEPOSIT OISPE <br />ISREQUIRED. DEPOSITS WLI-L BE RETURNED TO THE APPLICANT IF TRE FILF.S/RECOR <br />NOT AVAILABLE WI HIN THE CUSTODY OF THE Mm. <br />i 4. THE ABOVE IDENTMED DEPOSIT 1S APPLrED TOWARDS THE TOTAL FILE RbVIEw FEE <br />CHARGE- THE BALANCE OF TAE CHARGES ARE DUE AND PAYABLE EMM TO REVIEWING THE <br />�DOCUMENT(S).'7e/Ace.--1. m-eE ji t;y /s -f- hpur. <br />S. PUBLIC FMES/REsCORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />i; C. RRfiCTED BY 'ITIS ):rID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILi.I:D TO THE APPLICANT FOR PAYMENT. <br />6- ORIGINAL PUBLIC FIIF.S/RfiCORDS SHALL NOT BE REMOVED FROM THE EM MMS <br />ESr <br />SIGNATURE OF APPLICANT DATE <br />SIGNATURE OF RELEASING OFFICIAL, <br />EH 00 14 (REV 12/92) DATE <br />Z9'd GOS282ST Ol Ln>44 t,n-RVt9a 799T -).t -PS <br />