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SAN JOAQM COUNTY <br /> PUBLIC HEALTH� SERVICE.VIRONI�IENTAL HEALTH D ,,WjN <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT J� S PHONB NO <br /> ADDRI3SS C <br /> AGIRNCY c: L <br /> ADDMS �•lu >'ttONE NU_ , s , . <br /> Oct s <br /> a— U ADDR13SS LEADAGENT <br /> DAT' <br /> •l �rr'0 4 C',lc 1N f 1. I4-I�l ll <br /> AY <br /> CELVEE <br /> MAY <br /> PUBLIC HEALTH SERVICES <br /> THUS NOTICE IS SURIECT TO THE REQUIREMENTS IDENTIFIED IN THIR PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OR SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHAROB RESOLUTIONS, STATE WATER CODR, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RFCORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLINO (209)468-0340. OPPIC13 HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON ANL L•00 P.M. 4:30 <br /> P.M. <br /> 3• A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS RFQUIRBU- DEPOSITS WILL 913 RETURNED TO THF APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE 13Hb. <br /> 4. THE ABOVE IDFNTTPIED DEPOSIT IS APPLIED TOWARDS THF TOTAL FILE REVIEW FEF. <br /> ClIAROE. THE BALANCE OF THE CHARGES ARF DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILFS/RECORDS NOT RETURNED IN THE SAME CONDITION AS.RECEIVED W11L BF <br /> CORRECTEb BY TH13 11141) STAPP AT TH13 13XPPNS13 OF THI3 APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL HB BILLFb TO THS APPLICANT FOR PAYMENT. <br /> 6, ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM THE FHb PREM FS. <br /> SIGNATURE OF APPLICANT DATE 1� 1 R 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Ell 00 14 (REV 12/92) <br />