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I FJ-LJLS—I y.Jb b:t]brh'i rnu�r�,c i,u ��_� ✓-+u e,•�`-' ,J� <br /> SAN JOAQUIN COUNTY _ <br /> PURIAC HEALTH SERVICES {/ <br /> ENVIRONl1-1—,rFAL HEALTH DIVISION y L "vCl <br /> +J PUBLIC RECORDS RELEASE "PLICATION <br /> APPLICANT /1i PIIONE NO <br /> ADDRESS I 3-1 `� J c'~ f , ; �c°rr <br /> ES <br /> AGENCY NAME S tL PHONE NO <br /> ADDRESS <br /> FIL13 ADDRESS LEAD AGENCY_ DATE* <br /> 43 <br /> � <br /> a <br /> 5W W Eae-�fh 4 n <br /> 13= <br /> 11115 NOTICE IS SUBJECT TO TIIC RCQUIREMENTS IDCNIIFIED IN THE PUBLIC HEALTH <br /> SFRVICES/ENVIRONMENTALNEALTI( DIVISION (FUD) P013CY b'92�007.ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID FEES. AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OA TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2- PIIe1147. FII.E_S/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTM£N"IS ARE SCHEDULED <br /> MONDAY THRU FRIDAY FXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1.00 P.M. 'iO4:30 <br /> P.M. <br /> 3, A PUBLIC RECORDS RELEASE APPLICATION AND AICON-Rr:FUN 6I�j,j DEPOSPP OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RE`T`URNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE BUD. <br /> 4- THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE D,UP AND PAYABLE PPtttOR 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 PUBLIC FIL.FS/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OL FIC \ n DATE <br /> EH 00 14 (REV 12192) <br />