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fr/3-iel <br /> SAN JOAQUIN COUNTY . <br /> PUBLIC HEALTH SERVICES GGz.� cy <br /> ENVIRONMENTAL HEALTH DIVISION EYJ fer`U! 7 z�.. i e <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTc �� G ' PHONE <br /> NO S-6' - 2 2 0 0 <br /> ADDRESS kti z LIZ3 •rc lL ;c,c fcr C/1 cid"n/S <br /> AGENCY NAME PHONE NO <br /> ADDRESS /1 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> lUle /V. <br /> 01700 Al. B«—awa 40/D7.S 9&GI'V11 <br /> 4. <br /> 0 1700 /% . 3r..,d Ah.c <br /> 1 s oo• 5X X. 40.. <br /> 0 H 41 j, 5Ao w G/DS <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E14D FEES AND SERVICE CHARGE RESOLUTIONS, SPATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPQI `I`MENT 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 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <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 CRARGES ARE DUE AND PAYABLE FRIO TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED 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 PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> I SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) s <br />