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SAN JOAQUIN COUNTY I� <br /> PUBLIC EALTH SERVICES �C 2 2 <br /> H1992 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION ' ONMENMIT/ ALHESLTH <br /> APPUCANTZJ, i� PHONE NO Llis�fit <br /> ADDRESS 9000 <�r'/� YES moi✓ �r�� 3oS <br /> AGENCY NAME_ _ PHONE NO <br /> ADDRESS <br /> FII S P.DDRESS T.EAD AGENCY DATE <br /> _/tS S s✓�tBt sT srcrc^>ry/ _ // />of <br /> Sao 3 G6n/r6,t sl SYW.�7t✓/ -1��5 --- <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (RHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STAT$ 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 ONLX. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.hf, TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION ANDA DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE W17HIN THE CUSTODY OF THE EHD, <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 19 APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE,fR=TO REVIEWING THE <br /> DOCUMENT(S). <br /> 3. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFP 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 EFID PREMISES• <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> 0� � I ' d 8Z 5 [ Z6iLtiZt WOd:l <br />