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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES �J <br /> ENVHLONMENTAL HEALTH DIVLRION <br /> PUBLIC RECORDS RELEASE APPLICAl'loC, (( <br /> APPLICANT �� L <br /> ADDRESSAGENCY NAME c"'ia N S l 3 <br /> ADDRESS PHONE NO <br /> E'ILB ADDRESS <br /> IXAD AGE NCY ��� <br /> 51) <br /> � � 1 <br /> b <br /> PAYMENT <br /> RECEIVEDf <br /> APR 2 - <br /> SAN JOAQUIN COUNTY <br /> THIS NOTICE IS SURMCT TO THE REQUIREMENTS IDENTIFIED INE I(!Pl t <br /> SERVICESJSNVIRONMENTALHEALTH 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 /> 1. A`MAXIMUM OF TEN(10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILBS/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 A NON-REFUNDABLE DEPOSIT OF$78.OD <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE MO$TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILEiSIRECORDS NOT RFnAMD 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 2 7 9 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> FO*d 9FSGL£t307T 01 WONA Wd0T:OT £66T-6T-70 <br />