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0 0 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH D"ION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT jL,,Ui0 6ALLA6Heg�_W/kl7_ I-VORMPAJ PHONE NO (jir ) Lq.-j"-)o <br />ADDRESS N10 -giS015 a A (4 <br />AGENCY RAW PHONE NO <br />ADDRESS <br />Z�(' ))00_7-11 dAm (CII rde'v ) <br />LEAD AGENCY DATE <br />��k' otjt�0 <br />MS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN nIE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EIID) POLICY #92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, FHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE, WATER CODE, <br />oovERNmEN,r 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 />MONDAYTI]RU 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 FILESIRECORDS ARE <br />NOT AVAILABLE WITHIN THE CUSTODY OF THE MID. <br />4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br />CHARGE. TH13 BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING TIE <br />DOCUMENT(S). <br />5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY TIIE EHD STAFF AT THE EXPENSE OF UIE APPLICANT. THIS ADDIIHONAL <br />SERVICE WILL BE BILLED TO ITIE APPLICANT FOR PAYMENT. <br />6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT 13B REMOVED FROM THE EIID PREMISES. <br />SIGNATURE OF APPLICANT <br />SIGNATURE OF RELEASING OFFICIAL <br />Ell 00 14 (REV 12/92) <br />17 -i- -W) I,- T <br />DATE <br />DATE <br />