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•SAN jOj%QUTN COIJN'I"Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONI IF.NTAL IIEAL'CH DIVISION <br /> PUBLIC RF,COIZDS RELEASE APPLICATION <br /> APPLICANT_�'�C-', r;. I" �r. PHONE NO <br /> ADDRESS _ <br /> AGENCY NAIVII3�; C i � r I, PHONE NO <br /> ADDRESS t l ,r -- — J -� <br /> kII.E. (ZIt1�S$ <br /> LEAD AGENCY DATE <br /> f. , <br /> NT <br /> PU LINTY <br /> ENVIRONMENORVICL�S <br /> ?-' � � ivy ± 1_��. �• �-'.nalvl�aN <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH 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 REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY• APPOINTMENTS ARE <br /> ARRANGED BY CAVING (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 AND A 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 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 /> S. 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 ERD PREMISES. <br /> SIGNA'T'URE OF APPLICANT �� -r o,,I ' DATE <br /> SU7NATURE OF RELEASING OFFICIAL_ DATE <br /> EH 00 14 (REV 12/92) <br />