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V <br /> SAN JOAQUIN COUNTY <br /> PUBLIC E[EALTH SERVICES <br /> ENVIRONMENTAL IlEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> I iewn� 6tl PHONE ISA�7-�Gd� <br /> APPLICANTv� � <br /> ADDRESS w1V �� <br /> AGENCY NAMEPMS-EAF/7 PFIONI3 NO <br /> ADDRESS <br /> Nm' - <br /> FILE ADDRESS <br /> LEAD AGENCY 12AT' <br /> r -i J /z-2-fA <br /> 7777TiNGI�— <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED 1N THE PUBLIC HEALTIi <br /> SERVICE_VEN VIRONMENTAL HEALTH DIVISION (END)POLICY X92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREhI1SE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILFS/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS AAE 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 578.00 <br /> 15 REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPIJCANT IF THE PILES/RECORDS ARE <br /> NOT AVAILABLE WrrMN 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 FRIO TO REVIEWING THE <br /> DOCUMINT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE END 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 HE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> i <br /> _� f�i <br /> SIGNATURE OF RELEASING OFrICIAe 11 1' _ �' 1��'�(n DATE <br /> E-I 0014 (REV 12192) <br />