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SAN JOAQU[N "COUNTY <br /> PUBLIC HEALTH SERVICES <br /> M <br /> ENVIRONENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT *w d -.r .PHON$ NO <br /> ADDRESS / T Dr+ _ �w <br /> AGENCY NAME PH ONB NO <br /> ADDRESS <br /> FILE-ADDRESS LEAD `AGENCX <br /> _ <br /> }3 pa t,✓i47�R cOa R <br /> It <br /> THIS NOTICE 1S SUBIECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SFiR VICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POCK)!:#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. r <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 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 AND ANON-REI[JNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT.IF THE FILES/RECORDS ARE <br /> j NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <br /> �F <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> C11ARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO'REVIEWING THE <br /> i 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 /> E SERVICE WILL BE BIL.ED TO THE APPLICANT FOR PAYMENT. � <br /> 6� ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES.------------- <br /> f <br /> SMGNATURE OF APPLICANT " �' DATE <br /> ',i(iNATURE OF RELEASING OFFICIAL '' DATE <br /> I�.H 00 14 (REV 12/92) <br />