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N SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION PUBLIC RECORDS RELEASE APPLICATION APPLICANT f r' > 1 ll li I, J , PHONE NO ADDRESS AGENCY NAME I< Ir r 't c rl PHONE NOtf IaP - 1305 ADDRESS f- Il �1►�S LEAD AGENCY I?�T� i ick •n Vv' I 1 I � n ( , , c:r / ir; .i ;: A IIIA YmaN P -17 1 jamr , i I'�rt r, :' C i�, i 'I t AN JOAQUIN COUNTY iEALIT SERVMC __ finnA r ' I 1 . FNvianNMP TAL44EAtTHOWMM 1 . 71L� Ill 1" 1 Qtr C1 � � ' v `. i .- r THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENITFIED IN THE PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION (EUD) POLICY 092-007 , ORDINANCE CODE OF SAN JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, GOVERNMENT CODE AND THE EVIDENCE CODE, 1 . A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. 2. PUL:£.:C FILES/RECORDS REVIEW ARE BY APPOINTMFNT� ONLY. APPOINTMENTS ARE ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A. M. TO 12:00 NOON AND 1 :00 P.M. TO 4:30 P. NI . 3 . A PUBLIC RECORDS RELEASE. APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78 .00 IS REQUIRED, DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THfi PR ES/RECORDS ARE NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD . 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL. FILE REVIEW FEE CHARGE, THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE DOCUMENT(S). S . PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BII.L.ED TO THE APPLICANT FOR PAYMENT. 6. ORIGINAL PUBLIC FLLES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. SIGNATURE OF APPLICANT DATE ice ' SIGNATURE OF RELEASING OFFICIAL DATE EH 00 14 (REV 12/92)