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a SAN JOAQUIN COUNTY !� <br />PUBLIC HEALTH SERVICES <br />NVIRON FAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT PEONE NO � 0 e- 0 S Y� <br />ADDRESS <br />AGENCY NAME I- s PHONE NO <br />ADDRESS 4(a /�U`a v r S I--- c fi f"q <br />FILE ADDRESS LEAD AGENCY DATE <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDFNIIFIED IN THE PUBLIC HEALTH <br />SERVICESIENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, E 4D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. PUBIIC Faxs/RECORDS REVIEW ARE BY APPOINT;I= ONLY. APPOINTMENT'S ATI ; <br />ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br />MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO I2:00 NOON AND 1:00 P.M. TO 4:30 <br />P.M. <br />2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78.00 <br />IS REQUIRED. DEPOSI'T'S WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br />NOT AVAILABLE WnIUN THE CUSTODY OF THE EHD. <br />3. 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 />DOCUMENT(S). <br />4. PUBLIC FII.F.S/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRI-:=D BY THE ERD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br />5. ORIGINAL PUBLIC =RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT <br />SIGNAT' RE OF RELEASING OFFICIAL <br />EH 00 14 (REV 10192) <br />DATE � / ` <br />DATE r/-` <br />