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COPY <br /> SAID JOAQUIN COUNTY y f— ,J 70 <br /> pUBUC M AALTH SERVICES <br /> DIVISION <br /> HEAL <br /> PUBLIC ECQRDSS RELEASE APPLICATION 11 !!-- <br /> Suz&nI1p FRONS NO <br /> LlQ �t�io <br /> APPLICANT i <br /> ADDRESS <br /> AGENCY NAME PRONB NO <br /> ADDRESS <br /> D= )AGENCY DA <br /> 1 <br /> IN <br /> arnmQ <br /> y-�ate. D• _ � �;.- .r rC_ �h:1 <br /> Wvt Cltla k1Y111@. ?? <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIEDRDINANCEBCODE OE PULIC F AN <br /> sE RVICESJENVMONMENTAL HEALTH DIVISION (EMD)POLICY 992-007, <br /> JOAQUIN COUNTY, FJID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MA)QMUld OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BYkppOINTMENT ONLY. APpOINTM04TS ARE <br /> ARRANGED BY CALLING (109)458-0340. OFFICE gOURS FOR APPOIN-MIENTS AItE SCHEDULED <br /> MONDAY T14RU FRIDAY EXCLUDING HOLIDAYS, fi:00 A.M.TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. <br /> 3. hPUBLIC RECORDS RELEASE APPLICATION AND A NON-UFUNDAUL DEPOSIT OF 576.00 f <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILfiSYRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FIE <br /> CHARGE- THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THIS EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BIL?Pn TO THE APPLICANT POR PAYMENT. <br /> d. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br /> SIGNATURE OF APPLICANT DATE _ <br /> SIGNATURE OF RELEASING OFFI© DATE <br /> EN 00 14 (REV I2J92) <br />