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SAN JOAQUIN COUNTY A <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPIlCAN-f__d,L^1AIeR,— _PHONH NO il� y9� 33So _ <br /> ADDRESS 1912 FSky_� Sol. /s4 Sic- ITS-914 - — <br /> AGENCY NAME I ,)A( . Q, PHONE O <br /> ADDRESS D <br /> FL[.E ADDRESS LEAD AGENCY DATE <br /> Ti lk�-oo w p L_ J_� ___-- 1 O 111 12- <br /> TIES <br /> 2'PHIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND STRtVIC13 CHARGE ABSOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOU-41WNTS ARE <br /> ARRANGED BY CAI-LING (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 /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-RE"DABLB DEPOSIT OF $78.00 <br /> IS RE 1(JIRBD. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ._kE <br /> N( • \VAILABLE W17MN THE CUSTODY OF THE EHD. <br /> THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> LIARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RPCEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EM P49ES, <br /> SIGNATURE OF APPLIDATE { Z <br /> SIGNATURE OF RELEASING OFFI AL —DATE _—— <br /> EFT OO 14 (REV 10/92) <br /> PAYMENT <br /> 13ECEIVEfi <br /> I 'd t t : o i FRA54(4,(Z( IN roUNry <br /> ri)rai 1/1 ,n loaE <br />