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•SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> FNj VIRONi4IFNTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ^ ' 1 , <br /> APFIICANTT` i/'� '' i\•�[ �tiiki <br /> PHONE NO <br /> ADDRESS <br /> AGENCY NAME�tl,, r ' PHONE NO :f1-)� ' 131- 5 <br /> ADDRESS c�,�"� r wl. i r `fF�,� 95105 <br /> TLI.H Q►I2I2 � LEAD AGENCY DATE <br /> CEtVED- <br /> _ � SAN JOAQUIN-COUNTY <br /> FNVIRODUENTAL+HG4L{HRWtsroN <br /> THIS NOTICE IS SUBJECT TO "THF. REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SER VICES/ENVIRONMENTAL HEAI'CH DIVISION (EHD) POLICY 992-007,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 APPOINTMENT ONLY- APPOINTMENTS ARE <br /> ARRANGED BY CALLING (709)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-REFUNDABIB DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WTIHIN 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 PRIOR 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 /> ,04 SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> t 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE ERD PREMISES. <br /> SIGNA'T'URE OF APPLICANT t DATE I- zy <br /> SIGNATURE OF RELEASING OFFICIAL_ DATE <br /> FII 00 14 (REV 12/92) <br />