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SAN JOAQUIN COUNTY ''��� ` <br /> PUBLIC HEALTH SERVICES z" Y <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Civ S PHONB NO e7ll-,-s- 4' z 2-o o <br /> ADDRESS ,1 f- A*, c c �r l�3 �s +,.,, .u c.r•c�C St{ �cCom? �15��/S <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> ,FILE ADDRESS LEAD AGENCY DATB <br /> 13S`J /1�Qo r� f r c_ 17 <br /> e / <br /> 1 S 00. <br /> THIS NOTICE IS SUBJECT TO THE REQULREMENTS IDENTIFIED IN THS PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION(END)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E14D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY AEPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (2119)468-0340. OFF'I'CE 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 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFIJt[DABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THIS CAARGES ARE DUE AND PAYABLE P$IS2B TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL 13E <br /> CORRECTED BY THE ffiiD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDIMONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE l ellf l/ y` <br /> SIGNATURE OF RELEASING OFFICIAL DAT <br /> EH 00 14 (REV 12/42) <br />