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• SAN .r0MAJiN COUNTY jr-41 'o <br /> PUBLIC 11FALIll SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Al'PtlCAN_l� -__-----PHONE NO <br /> ADDRESS ...... <br /> AGENCY NAME PHONE NO t2: 1 <br /> ADDRESS <br /> LEADY <br /> AGENC <br /> to <br /> RAV NT <br /> --JAN 2 0 94 <br /> QMR JUAVI <br /> jes, UNTY <br /> 14 - _=Rvicts <br /> 71 Li ENVI N TAI NEW" <br /> 14eoj',)- I Ta-'r <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-M,ORDINANCE CODE OF SAN <br /> JOAQUN 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 APPODMIENT ONU. APPOU;rMENTS ARE <br /> ARRANGED By CALL.NG (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 9:00 A.M. TO 12:00 NOON AND 1-00 P.M.TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPFICATION ANDA NoN_J&EELMLDABLZ DEPOSIT OF 578-00 <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 M TO REVIEWING THE <br /> DOCUMENT(S). <br /> .5. PUBLIC FILES/RECORDS 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 BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL IFUEUC FaMIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EM 00 14 (REV 12/92) <br />