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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> APPLICANT PHONE NO cSSI <br /> ADDRESS <br /> AGENCY NAMB__ ,TF N& NO <br /> ADDRESS <br /> I —IX— ADDRESS LEAD AGHNCY DATE <br /> ot /),ems . I; T hP <br /> E —lA�r-�c- t Ma Ca. <br /> THIS NOTICE IS SUBIECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIILONMENTALHEALTH DIVISION(EHD)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 /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER RE(2UEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ON Y. 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 ANDA NON-REFUNDABLE DEPOSIT OF $78.00,,. <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE HHD. <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 TIIE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAPP AT THE EXPENSE OF TILE APPIICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED To THE APPLICANT FOR PAYMENT, <br /> 6. ORIGINAL PUBLIC FIIES/RECORDS SHALL NOT BE REMOVED FROM THE MD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12192) <br /> =O'd 26SETSST Ol £66T-9E-80 <br />