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SAN JOAQUIN COUNTY <br /> PUBLIC REAL'H SERVICES <br /> ENVIRONMENTAL AtAL'TH DrVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT # 15- /��� PHONE NO 2Q� �y3 Z - 2910 <br /> ADDRtSS (o 7 tC�,t t�-s.•-� �r 7it�e�H Cai <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FTLB ADDRESS LEAD AGENCY DAA <br /> l,SZ /'r, ir // T LO P <br /> 3 ,E // T L o <br /> Lo r <br /> � E /0 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION(EI-ID)POLICY x'92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN 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 APPOINTMENT 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$79.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FUM/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 CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 3. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF ?'HB APPLICANT. THIS ADDI'T'IONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT 1313 REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 111,5-19J <br /> 415 SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />