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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTII SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT I�jrlav� Qc, + vAn PHONE NO Zo ! 4� 76 /(235 <br /> ADDRESS <br /> AGENCY NAME fZo F, n,1 NG . PHONE NO <br /> i <br /> ADDRESS S'3 / arm 10StIPL l2 5ZO -7 <br /> FILE ADDRESS LEAD AGENCY DATE <br /> I MCI fl ve0tAe EN S l y Slat) o ✓1 <br /> � 2bfl ICICI C AVP ,Vt{ Q F' Ha ckvron '" C6INC GS CrA ✓ l/✓n <br /> JT' <br /> i <br /> MAI <br /> SAN JDA01ILLCUUU r, <br /> Uyi, ! r. wII nI. TH �. ' p�.i ! CES <br /> E:NVII Uivii +, FiivIGiQN <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY /792-007 , ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE 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 FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY , APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8 :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 AND A NON -REFUNDABLE DEPOSIT OF $78 .00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> j NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> I CI� 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 /> \ DOCUMENT(S), <br /> j 5 . PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT, THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6, ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 3 ZFl 9 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />