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'SAN JOAQUIN COUNTY <br /> I�. PUBLIC HEALTH SERVICES �- <br /> ENVIRUNMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> f i APPLICANT a61-1c, �F u-"c a PHONE N gICJ G 3 I -�I 41:5 i <br /> ADDRESS 3a 3 r�r�; { t31 _ (Jr 7� C8�'� _ c.'4 <br /> AGENCY NAME I�A A —PHONE NO 5c�t�_ _�..r_z ba,.-r � <br /> ADDRESS <br /> cLL ( Sc5e5z_ rc ( h �/_Q;_irdtoe C19 <br /> FILE ADDRPSS . LEAD AGENCY DATE <br /> .d _pznbizl_ cam► cl) <br /> THIS NOTICE IS SUBJECT TO THE: REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH s <br /> ;SERVICES/EN VIRONMENTAL HEALTH DIVISION(ERD)POLICY#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. 7 <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 /> 'M <br /> , ONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 9.00 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 D �$,00 <br /> .IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FTL �� ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF:T4H EHD. IVSD <br /> � . 12 <br /> 4. THE ABOVE IDENTIFIED DEPOSIT iS APPLIED TOWARDS THE TOTA4ARI <br /> 'CHARGE. THE BALANCE OF THE CHARGES'fARE DUE AND PAYABLE,PRIO�II� AvAwE S <br /> DOCUMENT(S). ! ;, FNVIRONMENTAL HEALTH DIVISION ' <br /> ':5. PUBLIC FILES/RECORDS NOT RET[JRNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> .CORRECTED BY THE EHD STAFF, AT THUS;EXPENSE OF THE APPLICANT. THUS 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 �-7 — 7 3 <br /> --SIGNATURE OF RELEASING OFFICIAL Ii DATE <br /> EH 00 14 (REV 12192) ' <br /> r <br />