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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL IMALTII DIVISION <br /> PUBLIC RECORDS REL);AISE APPLICATION <br /> f A��aacfo <br /> APPLICANC ��LIONE NO yb7-/O() 6 <br /> ADDI�B.SST EJl - � E v;ro� � <br /> s w <br /> AGENCY NAM9 S ti h{�] PHONE NO P <br /> ADDRESS So Y f %at!rzy& Av£ �(I o Flod1 5?ocli rA 95x0 z <br /> FII B ADDRISS IRAD AGENCY DAT73 <br /> T 6Nb S-ke4f- 3raSC Ss --- <br /> t4 k4;jsgAJA)A%4 <br /> THIS NO11CH IS SUBJECT TO 111E REQUIRENILeNTS IDENTIFIED IN TIIE PUBLIC HEALTH <br /> SER V ICESIFN V IRONMENTA L HEAL 7H DIVISION(MID) POLICY,/92-007.ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID F)rES- AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> GOVERNMENT CODE AND 1118 EVIDENCE CODE. <br /> 1. A MAXIMUM OF 713!1 (10) PREMISE ADORESSES PER REQUEST. <br /> 2. PUBLJC FII.L•S/RECORDS RFVIEW ARE BY 0('POLNTMENT ONLY APPnINTMEN'(S ARE <br /> ARRANGED BY CAIAJNG (2-19)468-0340. OFiRCF HOURS FOR A.PPOIN7•AIENTS ARE SCIINOULIiD <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M.TO 12:00 NOON AND 1:00 P.M. CO 4:30 <br /> P.M. <br /> 7. A PUOLIC RECORDS RELEASE API'IJCA'nON AND A NON-REFUNDARI F DEPOSTF()F4711.00 <br /> IS REQUIRED. DEPOSI•IS WILL BE RLI-URNED TO 1118 APPLJCANT IF 111E FILFSf C•CORD:i ARE <br /> NOT AVAILABLE WITHIN 1199 CUSTODY OF 711E EIID. <br /> 4. THF. ABOVE IDENTIPIED DEPOSIT IS APPLIED TOWARDS T14E TOTAL FILE REVIEW FEE <br /> CHARGE. 'L1iE BALANCE OF 1FEk CHARUES ARE DUE AND PAYABLI.(, KIOx 7.0 REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT R.L•TURNED IN THE SAME COND111ON AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT 1116 EXPENSE OF TILE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILESI"coRDs SHALL NO'T BE REMOVED FROM THE FIID PREMISES. <br /> SIGNATURB OF APPLICANT DATE -3o^2q _ <br /> SIGNATURE OF R1iLEAS1NG OFI9CIAL DATE <br /> 11100 14 (REV 12192) <br /> IT-r IA(IV L•1f1)44 LJ,ipm: L pF,(3L—w--1 <br />