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APPLICANT <br />ADDRESS <br />AGENCY NAME <br />ADDRESS <br />FILE ADDRESS <br />SAN JOAQUIN COUNTY 0 <br />PUBLIC IIEALTII SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />-5//71�y,41 <� IF /a iq <br />PUBLIC RECORDS RELEASE APPLICATION <br />0+MCA ✓i PHONE NO ZO y z176 " %6 3 E� <br />/ 1, .� 1_ / v►o �_ / 7 _ S clx-fo °l5 2 O 7 <br />Tay l o; Sookti � <br />'1 - 1k19 S. Aruoyiaul <br />Il <br />LEAD AGENCY DATE <br />UST F, % — P <br />ye. F� <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUgEiL�%CO <br />H <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #92-007, ORDINANCE CODN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. 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 <br />P.M. <br />3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE 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 THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br />DOCUMENT(S). <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. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br />SIGNATURE OF APPLICANT <br />SIGNATURE OF RELEASING OFFIC <br />E14 00 14 (REV 12/92) <br />DATE <br />