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It I A a 0j my +&w y kMvx!.J "d i oca <br /> 1.0000, <br /> _,C.0 <br /> SAN JOAQUIN COUNTY V 7.- <br /> PUBuc HEALTH SERVICES <br /> ENVIRONMENTAL 7iEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPIICANT 11 M PHaNE NO <br /> ADDRP.SS / _ <br /> AGENCY NAME <br /> A PHONE N4 <br /> ADDRESS 'r r <br /> FILE ADDS <br /> LEAD AGENCY �� - <br /> 112 0 to F- <br /> 5 A3 <br /> r <br /> TIIIS NOTICE= IS SUId3ECf TO 17116 REQUIREMENTS IDENI7FIFD IN THE PUBLIC HEALTH <br /> SER VICES/I:NVIRONMI=N'PAL HEALTH DIVISION(EIID) POLICY/x92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID FEES AND SERVICE CHANGE RESOLUTIONS, S'T'ATE WATER .CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE.. <br /> 1. A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. P0811C FILESIRECORDS REVIEW ARE BY A PP OINTMFNT_QtLl Y. APPOINTMI:NTS ARE <br /> ARRANGED BY CALLING (209)468.0340. OFFICE HOURS FOR APPOINI-SIEN-1-S ARE SCIIEDULED <br /> MONDAY TNRU FRIDAY I (CLUDING HOLIDAYS,8:00 A.M.TO 12:00 NOON AND 1:00 P.M. 7'O 4:30 <br /> PM <br /> 3• A PUBLIC RECORDS RELEASE APPLICATION AND A No N-TIFUNDAttt ri.DEPOSIT01: $78.00 <br /> IS REQUIRED. DEPOSITS WILL BE ItE`I'URNED 1.0 111E APPLICANT IIS THE FIL.1SIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUS'T'ODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL OR TO REVIEWING THE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE�_ <br /> DOCUMEN-11S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORREC113T3 BY THE EHD STAFF AT 1149 EXPENSE, OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPUCANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRF-CORDS SHALL NOT BE REMOVED FROM TIIE ERD PREMISES. <br /> 4 it Ts IIZ21�7 <br /> t , <br /> SIGNATURE OF APPUCANT DA ` <br /> SIGNATURE OF RELEASING OI-FICIAL DATE <br /> EH 00 14 (REV 12/92) <br />