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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> KNVIRONMENTAL HEALTH DTi'VISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANT 'T ►� e-► PHONE NO G 1 W 4,14 q-3.S`i o <br /> ADDRESS & �s� i <br /> AGffivCY NAME PHONE NO 7 <br /> ADDRPSS <br /> EUX ADDRESS LEAD AGTNCY p <br /> i <br /> fxrft- <br /> Alc <br /> ,THIS NOTICE IS SUBJECT TO THE REQUMEMENTS IDENTIFIED IN THE PUBLIC HEALTH � <br /> SFRVICESIENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-0007,ORDINANCE CODE OF SAN <br /> JOAQUIN : TI <br /> COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE 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 APPOIN ONLY. APPOIN'T'MENTS 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 UNDABIB DEPOSIT OF$78.00„ <br /> IS REQUIRED. DEPOSITS WILL. BE RMMNED TO THE APF.LICANT IF THE FILES/RECORDS ARE � <br /> NOT AVAILABLE WITHN 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 PAYABLERT' ITO REVTBWING THE <br /> DOCU&MNT(S). <br /> 5. . .'PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDMON AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT 'I1IE EXPENSE OF TM APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. f <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. �I <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE OF RELEASING OFFICIAL DATE I <br /> EH 00 14 (REV 12/92) <br /> Tn•:.l Crnrra-7OrCT .: in11.! iiJr.r.rn - vC*-..�T-"r' <br />