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0SANJOAQUIN COUNTY <br />PUBLIC IIF. klTll SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT —PHONE NO <br />ADDRESS <br />AGENCY NAME LY_ PHONE NO <K <br />ADDRESS A, <br />%rN <br />ck v - <br />L <br />2= <br />A MA)UMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST - <br />2. PUBUC FILES/RECORDS REVIEW ARE BY APPORMEM ONLY- APPOINTMENTS ARE <br />ARRANGED By CALLING (2og)468-0340. OFFICE HOURS FOR ..•1 (:4 ARE SCHEDULED <br />MONDAY THRU FRIDAY EKCLUDING HOLIDAYS, 9:00 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-AEPMABLE DEPOSIT OF $78-00 <br />IS REQUIRED. DEPOSITS WILL BE RETURNED TO T14E APPLICANT IF THE FUXISIRECORDS ARE <br />NOT AVAILABLE WITHIN THE CUSTODY OF THE EUD. <br />4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAIL FILE REVIEW FEE <br />CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE To REVIEWING THE <br />DOcumENT(s). <br />Cola$ 0:kfj*lj gel$) Ili *1091 41tt A fka <br />P <br />SIGNATURE OF APPLICANT <br />STONATURE OF RELEASING OFFICIAL <br />EH 00 14 (REV 12/92) <br />DATE <br />Mu� <br />