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�- S-30-199S 11 :dBAM FP AGE NC 209 95G 0700 P. 2 <br /> SAN JOAQUIN COUN'T'Y <br /> PUBLIC ELE,ALTH SERVICES 3 "I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RET,FASE APPLICATION <br /> APPLICANT �4%�I.� l Al PHONE NO <br /> ADDRESS 73 sy. •4��rt Cnl 5...,� .4- �'7 AGENCYNAME PHONE NO <br /> ADDRESS <br /> FILE ADD 5 I,BAD AGED CY <br /> ��05' ���' -�'�5--��, �moo• �S <br /> Gt. <br /> TIUS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(ERD)POLICY 192-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FM AND SHRVICP CHARGE 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 FaES/I-F�CORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENT'S ARB <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY TURU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 1200 NOON AND 1:90 P.M.TO 4:30 <br /> P..Sd. <br /> 3. A PUBLIC RECORDS RELEASE APPLICAMON AND A NOIR-REEVNDABLE DEPOSIT OF$78-00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO TIDE APPLICANT IF THE F,uESMECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THS ERD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUH AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMEN71M. <br /> 5. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> COPT ECIED BY THE ERD STAFF AT THE EXPHNSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WELL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FI SMALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT L6 �"zeu,— DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Est 00 14 (REV 12M2) <br /> t <br />