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�s <br />�0�:I� <br />a <br />W- i 9 r ;i+ <br />• SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />I701A PHONE NO 96-366-/X)/ <br />NO <br />LEAD AGENCY DATE <br />I <br />THIS NOTICE IS SUBIECT TO THE REQUIREMENT'S IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #921107, ORDINANCE CODE OF SAN <br />IOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE FIND THE EVIDENCE CODE. <br />1. PUBLIC FILES/IZECORDS REVIEW ARE BY Ap INDENT ONLY. APPOINTMENTS ARE <br />ARRANGED BY CALLIi.4G (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br />MONDAY THRU FRID�yY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 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 578.00 <br />IS REQUIRED. DEPWWS WILL, BE RETURNED TO THE APPLICANT IF THE FILFS/RECORDS ARE <br />NOT AVAa-kBLE THE CUSTODY OF THE EHD. <br />3. THE ABOVE DANTIFIED 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 />d. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE i1 HD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BIL{ TO THE APPLICANT FOR PAYMENT. <br />S. ORIGINAL PU13UC FILES/RECORDS NOT BE REMOVED FROM THE EHD PRfKSF-S. <br />SIGNATURE OF APPLICANT — DATE Z <br />i <br />SIGNATURE OP RELE SING OFFICIAL DATE <br />EH 00 14 (REV 10/92) <br />[ 'd <br />L8�[l Z6i0Ei0I <br />wo�jI <br />