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t SAN JOAQUIN COUNTY <br /> 1 IrUftLIC HEALTII SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION. Cj <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTL�-f3ecd PHONE NO �9/ta)57o�/-Zzda <br /> ADVRESS_L;i _ (vnisl�es� �� G 4 �fY1r <br /> AGENCY NAME_ PHONE NO <br /> ADDRESS r__.____ <br /> EUALAPDRES LEAD AGENCY I7ATII <br /> aa_-�nFlc A22tSsaP — <br /> o <br /> fqti'-- _- . ... _ - <br /> THIS NOTICE IS SIRUECr TO THE REQUIREMENTS IDEN I'I:D IN THE PUBLIC HEALTH <br /> SI7tVICESIENVIRONMENTALHEALTH DIVISION MD)POLICY#92-oW,ORDINANCACODE OFSAN <br /> IOAQUIN COUNTY, )IID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE, <br /> 1. A MAXIMUM OF TEN (to) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILFSIRECORVS REVIEW ARE BY bBEQRTMENT ONI.X. APPOINTMENTS ARE <br /> ARRANGED BY CAL.IING (209)4684Y340. OFFICE IIOURS FOR APPOIN'IhMM 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 RECORIJS REM-iLSE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF.S78.rxi <br /> IS REQUIItED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS ARL- <br /> NOT AVAILABLE WITIIIN TILE 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 ANU PAYABLE MO TO REVIEWING THE <br /> DOCUMENT(S). <br /> 3. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRVA-MD BY THE HHD STAFF AT T[EE M&ENSE OF THG APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL.BE BILLED TO THE APIUCANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES(RECORDS SHALL NOT BE REMoVED FROM THE FAD PREMISFS. <br /> SIGMA"TUBE OF AFPIJCANT DATE z�Ilo-p� <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FH 00 14 (Rev I2192) <br /> TOTAI.. P.VP <br />