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r _ i <br /> � tl D <br /> 41 <br /> SAI+! JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> MWIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE ;APPLICATION <br /> APPLICANT UJ. L- 1 `44E PHONE NO <br /> ADDRESS Zeb, Z__7 <br /> AGENCY NAME .9 " PHONE NO_ - GSI <br /> ADDRESS <br /> EME ADDRESS LEAD AGE <br /> NCY DATE <br /> t2O 3 - <br /> 3 c. <br /> A-nAY 3 <br /> °CRMITfS' c <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICFS/ENVIRONMENTAL14EALTH DIVISION(EHD)POCKY#92-007,ORDINAKCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVER,NMSNT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN(10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESAMCORDS REVIEW ARE BY APPOINTMENT QNL.Y. APPOINTMENTS ARE <br /> ARRANGED BY CALL94G (209)468-0340. O.IFLCE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY 711RU 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-REFUNDABDEPOSIT OF$'78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FlL -&RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODT OF THE FHD. <br /> 4. THE ABOVE IDENTInED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FfiE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING T14B <br /> DOCUMENIM. <br /> S. PUBLIC FILESIKECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXP13NSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL. DATE <br /> ER 00 14 (REV 12!92) <br />