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S:U i FSM rr�lllaG ivi, sv.^ .1_,v vice, .� �L�L�' 11 <br /> C/`7 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC IIRALTII SERVICFS <br /> ENVIRONIVIIENTAL HE.AL'I'IL MVISION <br /> PUBLIC RECORD'S RLLEASE APPLICATION <br /> (L: - fKCfl �PIIONE NO_q <br /> AI'PlscArrr <br /> ADDRESS 0 ao <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> 4 <br /> FILE ADURMS LFA_D_A90NICY DATIi <br /> V5 Y3 r <br /> T711S NOI7CI: IS SULUECP TO T118 REQUIREMENTS (I)ENTIFIED IN 111E PUI31-IC HEALTH <br /> SER V ICES/EN V IRONM ENTAL 14FAL:T11 DIVISION(r'10) POLICY M3-007,ORDINANCE CODE OF SAN <br /> 1OAQUIN COUNTY. EIID F.EFS AND SERVICE CHARGE RESOLUTIONS, SPA'T'E WATER CODE, <br /> GOVERNMENT CODB AND TILB RVIDEdCE CODE. <br /> 1. A MAXIMUM OF TEII (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. 1119I.IC FILES/RFCORDS REVIEW ARE Bl' QL'(•S1L'S.TL�•1 )'�Z Q`'LI.1 APPOINTMENTS ,ARE <br /> ARRANGED BY CALIINO (279)469-0340. OFFICE HOURS FOR APPOINTALENTS ARE SCHEDULED <br /> MONDAY TIIRU 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 APPLICA IION AND AVON RFFUN[)All[, DEPOSIT O':,78.00 <br /> IS REQUIRED. DEPOSITS WILL. BE RETURNED TO THE APPLICANT IF TILE FILESIRECORiXi ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OP THE EIID. <br /> 4. TLIR ABOVE IDENTIFiED_DEPOSI"P 15 APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. '111E BALANCE UP 7FiS CILAROES ARE DUE ANI) PAYABLE;?RIOTO REVIliWING THE <br /> j)OCUMF.NT(S). <br /> 5. PUBLIC FILESIRECORDSNOT RETURNED IN T11E SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE END STAFF AT 711E EXPENSE OF TI1E APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO 111E APPLICANT POR PAYMENT. <br /> 6. ORIGLNAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM TIIE F11D PREMISES. <br /> SIGNATURE UP APPLICANT DATE2291 <br /> SIGNATURE!OF REi:EAS[NG OPPICIAL DATE <br /> EI 00 14 (REV 12/92) <br />