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-•• llum N.m rvc 209 956 0700 <br /> u P. I <br /> ti <br /> &tw-j qS;qy - <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �gAffsb CseoEavfaYfrr�nFA�� LIE) <br /> anPDlssm T.� C �( I SONG No <br /> AGENCYNAMH PHp B NO <br /> ADDRESS <br /> E <br /> I <br /> i <br /> Ffi.R 4I�DRP LEAD A , HCY 12�� <br /> 0 Q315 N. ELDaaADn Str t H+, -Eli 03S•a� do� a �i <br /> O 232a tiI� <br /> 0 1645 IV. Phcg{ t . A„e.• W4T •3S ?- O <br /> 3S'. <br /> —SEC <br /> 9 -t. (hkA, <br /> 3s. ENVIROffyy <br /> �PE91 /SERV? I <br /> TIIIS NOTICE 13 SUBJECT TO THE REQUIREMENTS lDEN7TI•IFD IN THE PUBLIC HEALTH ” <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007,ORDINANCE CODE OF SAN �E <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, S'L'ATE WATER CODE, <br /> GOVERNMENT CODE AND THB EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMEN ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209"-0740. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 5:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION ANO A NOM-REFUNDABLE DEPOSIT OF$73.00 kk� <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE F1LFSA ECORDS ARE I 1 <br /> NOT AVAILABLE WITHIN THE 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 DUE AND PAYABLERY IOR TO REVIEWING THE <br /> DOCUMENT(S)- <br /> 5: PUBLIC FILESIRCCORDS NOT RE-TURNED IN THE SAME CONDITION AS RECEIVED 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 /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD MEmIsE r <br /> SIGNATURE OF APPLICANT DATE _L422.1 <br /> T d 15�� <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/42) <br />