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8-11-1905 4:58PM F- AGE NC 209 956 0700 P. 2 <br /> sArr JoAQu3mr covrrrY <br /> PUBLIC HEALTH SERVICES <br /> EN IRONNIF.NTAL HEALTH DIVLS'ION <br /> PUBLIC YEMRDS RELEASE APPLICATION <br /> Z�, NO Q r pHONiE <br /> APPUCAN T S � <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DAIM <br /> ,Qty�" p K <br /> 2«D At <br /> Ao <br /> �- � A <br /> THIS NOTICE IS SU$IECT TO TRH REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMM4TAI.HEAL7II DMSION(EHD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUN'T'Y, ETIO FEES AND SERVICE CHARCIS 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 APPOIN'IIi IENTS ARE SCHEDULED <br /> MONDAY TBRU 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 ANDA NON-REFUNDAIlLE OF-POSIT OF x48.00 <br /> IS REQUIR03. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE 1:11 1 JRECORDS 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 /> DOCUlbffJ l(S). <br /> S. 'PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RSC EIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THfi APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BIT IID TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FIL ESIRECORDS SHALL NOT BE REMOVED FROM THE EJID PREMISF1;_ <br /> SIGNATURE OF APPUCANT <br /> SIGNATM13 OF RELEASING OFFICIAL DATE <br /> ER 00 14(REV 12/92) <br />