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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> `PUBLIC RECORDS RELEASE APPLICATION <br /> Ctdu�"y{ zu•►�• <br /> PHONE NO <br /> APPLICANT GF} SLS <br /> ADDRESS ' <br /> AGENCY NAME <br /> PHONE NO <br /> ADDRESS <br /> FILLDRES LEAD BN Y <br /> 3 sir"a. <br /> 2vkvll­ <br /> liegy VA f3. <br /> - <br /> !� <br /> V v.,,+ <br /> Z O <br /> 3 <br /> 1 <br /> moi• <br /> MENT9 Ii7fiNTIFIED IN THE PUBLIC HEALTH <br /> THIS NOTICE IS SURMCT To .THE REQUIRE <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007.,ORDINANCE CO <br /> DB 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 FILESI"CORDS REVIEW ARE BY AEMNTMENT ONLY. APPOINTMENTS ARE <br /> LUNO (209)469-0340.209 468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> ARRANGED BY CA <br /> J <br /> � MONDAY THRU FRIDAY <br /> 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 ANDA NON.&EFUNDARME 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 /> i <br /> DOCUMENT(S). s <br /> 5. PUBLIC F1LFSlRECOADS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL'BE <br /> CORRECTED BY THE END STAFF AT THE EXPENSE. OF THE APPLICANT. THIS ADDITIONAL. <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE c3 <br /> + SIGNATURE OF RELEASING OFFICIAL DATE <br /> FH 00 14 (REV 12192) <br /> ry - <br /> d <br />