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SAN JOAQUIN COUNTY , <br /> PUBLIC HEALTH SERVICES <br /> ENVIRON1MNTAL HEALTHDIVISION <br /> PUBLIC RECORDS RELEASE APPLICA'nON,.. <br /> APPLICANT' PHONE NO <br /> E ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> PILLS ADDRESS LEAP AQWx Dnr' I' <br /> S `s •t -qc <br /> 115mo 'ant Affu �r=D <br /> -- - - h <br /> YDD a <br /> YID " <br /> r+- <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUI3UC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(ERD)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/RECOPMS REVIEW ARE BY AMOINIME yI QNLY. 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-REFUNDAELe NON-REFUNDDEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE ,A,PPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WiTHZN THE CUSTODY OF THE ERD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED 'TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND k AYABLE PRIOR TO PEVIEWIN(3 THE <br /> DOCUMENT(S), <br /> S. 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 ADI)MONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> b. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD ,PREMISES. <br /> SIGNATURE OF APPLICANT ��t_.��'�(/ � L _'` --- <br /> -� - -����:CIL DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12192) <br /> z0'd 002617931 01 WoOJA WU01:80 b66T-ST-RQ <br />