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SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTII SERVICES <br /> ENVIRONMENTAL IIEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �? C! 1-C PHONE NO.� iC' <br /> ADDRESS />'r /'5 <br /> N <br /> AGENCY AME /mac PHONE NO <br /> ADDRESS <br /> FILE ADDRESS <br /> 17 y IN-I've U> r ZAz, <br /> U/ul l ri1G 71"rar7 S1:-eer' <br /> qy 7- <br /> !�ZO � l ! S </���r,vy 7�C<� C���' sr � • /Ori <br /> THIS NOTICE IS SUBJECT TO I-FIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1192 CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUWATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> JAN 2 8 1994 <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER RE%AJ OAQUIN COUNTY <br /> ptiOLIC HELT115ERVIGES <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTl1dMOMALKAONROAVOTS 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$78.00 <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 /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT TIIE EXPENSE OF TILE 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 /> 42_7� <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />