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SAN JOAQU V COUNTY n <br /> _. I?TMLIC mALTH SERVICES <br /> &NN ..VIROMINNTrAL HEALTH DIVISI. N <br /> PUBLIC RECORDS RELEASE APPLI<CATIOLN <br /> APPLICANT PHONE NO <br /> ADDRESS �• . a PHONE xVO `i 6' <br /> AGENCY NA1v�L l �aN t< ��� �+i wivoj'i ✓I K ! - <br /> ADDRESS lit vV. t'larc Lvt.• f Lt S oc to <br /> FI7LFi ADD R LEAD AGUTCY DATE <br /> ...etc . <br /> -4/me- S.�{�z�i• 99 - H�- t} <br /> MitkkA <br /> a r <br /> y s 9 �2 �-^• spaA <br /> o <br /> - NUTTCL' ISS SUBJECT TO TN)r REQUiRENSENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVTCES/ENVIRO�NdI;NTAL H�4LTI-I DIVISIO,I(El ID)POUCY#92 007.ORDIti'AI-CIr CODE OF SAN <br /> JOAQUIN COUNTY, END FgSS AND SERVICC CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNN'IENT CODE AND IIAS EVIDENCE CODE. <br /> I. A NiA.`a1,4UDi OF TEN (10)PRENUSE.ADD& SSES PER REQUEST. <br /> Z. PUBLIC FILESIRE-CORDS REVILIV ARI:'BY APPOI\1 MI=NT ONLY. APPOINTMENTS ARE <br /> AM%,N-GED BY CALLING (".09)453-03:0. . OFFICE HOURS FOR APPOINTIMENTS ARE SC1413-DULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 5:00 A-M-TO 13:00 NOOI I AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS, <br /> APPLICATION AND A �` ' ' A 13LE DEPOSIT OF S78.00 <br /> IS REQUIRED. DEPOSITS 'Wli r BE It UR.NED TO THE APPLICANT IF THE FILFS/RECORDS ARE <br /> NOT AVAILABLE WIT)UN THE CUSTODY OF THE RHD. <br /> d, TILE ABOVE IDENTIFIED DEPOSIT IS APPJJED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CH.' AGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE pRRiOR TO RFV)fiWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT TBE EXPENSE OF THE APPLICANT. 'I-HIS ApDMONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILI-S/RFCORDS SHALL NOT BE REMOVED FRON4 THE ERD PREMISES. <br /> SIGNATURE OF APPLICANT .,. <br /> DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EN 00 1 d (REV 17192) <br />