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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 1 <br /> APPLICANT Lp� � y PHONE NO <br /> ADDRESS 0i <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AQENCY STB <br /> * <br /> 3 stria <br /> l[ <br /> aleVA <br /> Mc k'�v7 vti.,.�r�cd <br /> he 375 N. T �d <br /> QA&f4M <br /> k <br /> z DOI <br /> 3 �o-4. -- - <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND ySERVICE CHARGE RESOLUTIONS, STATE WATER CODS, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. k <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 4 <br /> 2. PUBLIC FILE <br /> smECORDS REVIEW ARE BY APPOINT 5M QNLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 f <br /> P.M. <br /> f <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION ANDA O - DABLE DEPOSIT OF X78. i <br /> IS REQUIRED. DEPOSITS WILL I BE RTURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WTTHLN THE CUSTODY OF THE EHD. i <br /> i <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> E <br /> DOCUMENT(S). i <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. OWGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. ' <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> r1 � <br /> EH 00 14 (REV 12192) sy <br /> 1; <br />