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•AN JOAQUIN COUNTY • <br /> PUBLIC nEALTH SERVICM <br /> ENVIRONNIE',N'1'AL tMA.LTII DIVISION <br /> LIC RECORDS RELEASE APPLICA'T'ION <br /> APPLICANT SQ rr I" (`f2e PHONE NO <br /> ADDRESS WAW. T Ca k*- cP 94015 <br /> AGENCY NAME PHONE NO <br /> ADDRMS <br /> FILE ADDRESS LE" AGENCY <br /> bj5 p r c <br /> To <br /> T <br /> RECEIVED <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE-PURP61UN <br /> NTY <br /> SERVICES/ENVIRONM NTAL H13ALTH DIVISION(EHD)POLICY#92-007,ORD NA � RN TY <br /> JOAQUIN COUNTY, HD PHES AND SERVICE CHARGE RESOLUTIONS, 0 M I ulvlslorj <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM or TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC PILES CORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALL INO (209)468.0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRID Y 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 RFC DRDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILFS/RECORDS ARE <br /> NOT AVAILABLE WIlrN THE CUSTODY OP THE MD. <br /> 4. THE ABOVE I ENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE, THE BALA qcv OP THE CHARGES ARE DUE AND PAYABLE PRIQ$ TO REVIEWING THE <br /> DOCUMENT(S). <br /> 3. PUBLIC FILES RECORDS NOT RETURN13D IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY T14E BBD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE Bill LED TO THE APPLICANT FOR PAYMENT. f <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br /> SIGNATURE OF PPLICANTi DATE 3 r f 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> � r • d 80 � I I E6i51 iE0 IdOb`� <br />