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PUBLIC HEALTH SERVICES <br /> ENYAPIN&W.-NTAL HEAtTll I)MSIA <br /> PUBLIMECORDS RELEASE "PLICAON' <br /> "PWCANT'?knoV,e,-,-V'�ky�Kjt PHONE NO CL <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> .................. ................ <br /> D-L -ADD ! LEAD AGENCY 12ATE <br /> 'n;I3 NOTICE ts SUBJECT TO THE REQUIREMENTS IDEN-TIFIED IN THE PUBLIC REAL771 <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(END)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, ED 17EF-S AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> COVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOIN ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)46W340. OFFICE HOURS FOR APPOINWENTS ARE SC14EDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> 3 A PIJ7311C RECORDS RELVASE APPLICATION AND A NON-UEVgDA=DEPOSIT OF$78.00,. <br /> IS REQUIRED. DEPOSITS WILL 139 RETURNED TO T14B APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE D. <br /> 4. 714E ABOVE IDENTIFIED DEPOSIT If APPLIED TOWARDS THE TOTAL ME REVIEW FEE <br /> CIIARGS. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE EBM TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5- PU;3tlC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED 13Y 7TIE FHS? STAFF AT 7148 EXPENSE OF TITE APPLICANT. MS ADDITIONAL <br /> SERVICE WILL BE BILLED TO 114B APP11CANT FOR PAYMENT. . I <br /> 6. ORIGINAL PUBLIC FILP-S/RECO.RDS SHALL NOT BE MOVED FROM THE MID PREMISES. <br /> SIGNATURE OF APPLICANT Fit DATE <br /> SIGNATURE OF REL EASING OFMCIAL DATE <br /> Fiff 00 14 (REV 12/92) <br /> zold <br />