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SAN JOAQUIN COUNTY } r <br /> CLIC HEALTH SERVICES rU<� <br /> ENVIROr4NIENTAL HEALTH DIVISION y ( mCl <br /> PUIILIC RECORDS RELEASE APPLICATION <br /> APPLICANT 01 �Illl�J �! PIIONE NO <br /> ADDRESS 0 ✓i -ri c �04P r-S* Cn <br /> AGENCY NAME ,1 PHONE NO <br /> ADDRESS <br /> FIT Ta ADDRESS I }SAD AGENCY DA-71 <br /> TE" <br /> moo! Sdsoc�.� a <br /> a v t <br /> 1111S NOTICE IS SUBJECT TO TILE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONML-NTALHEALTIi DIVISION (FIID)POLICY*92.007.ORDINANCE CODEOF SAN <br /> JOAQUIN COUNTY, EHD FEES. AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE nV1hENCE CODE. <br /> L A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUB11C FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)668-0340. OFFICE HOURS FOR APPOIN'CMEN"15 ARE SCHEDULED <br /> MONDAY THRU 12LUDAY EXCLUDINO 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•RFRINhAIILI: DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO T11E APPLICANT IF THE rILES/RECORDS ARG <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <br /> 4_ THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUF 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 /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE lQ' 96 <br /> SIGNATURE OF RELEASING Of FIC ( � _ DATE <br /> Ell 00 14 (REV 12192) <br /> y <br />