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KA # 2 <br /> SAN JOAQUIN COUNTY �. <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ` ; j -,,:_ P1;; I. ` PHONE NO <br /> ADDRESS <br /> AGENCY NAME i�.lt.er`k ; lmoi' PHONE NO �tLf--I %Lr <br /> ADDRESS <br /> E1L1 ADDRESS LEAD AGENCY DATE <br /> r„ic i <br /> Tt <br /> PAVML <br /> RECENED <br /> �_ �_ i,11'••1 'V". eau iC _- —. . ' ��11. J � <br /> SANr18AQULN�TES <br /> ENVI ONMFtitu W t.�VISION <br /> 'MIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, 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) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APP02MUM ONLY. APPODMIEN'IS 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-REFUNDABLEREFUNDABLE DEPOSIT OF$79.00 <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 SOB TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILE—WRECORDS 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 BQ.IAM TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE MID PREMISES. <br /> SIGNATURE OF APPLICANT a DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Ell 00 14 (REV 12/92) <br />