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SAN JOAQUIN COUNTY j <br /> PUIILTC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT' f�_AtAY� �k r .c fa ��� _F� ONE NO Cii;io ` 5Z t-�{�i`. <br /> ADDRESS t Cx-&cSJ4 �x .� .,-�.v� a C 8/s <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> AA <br /> 1" -fur?jf1AtA f -- g7o _ <br /> 1 .2 <br /> O (v <br /> CkwQI?Y) -�-715 11l•�[ct..c�t 1U� <br /> T1TIS NOTICE IS SUBJECT TO THE REQUIREMENT'S IDENTIFIED IN THE FUI � f <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(131413) POLICY 992-007,ORDINANCH � <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE vPfMvm <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. CT 8 193 <br /> i `MAXIMUM--OF-TEF-v(lol PMMISE�ADDR-ESSESTE --RE — _ Snfit�OAQUth-CC-OU V"-=" <br /> p��[��JnnS�IC HEAL�HpS�E�RVICES <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT O LY. AI'PCJI��� BIVl91Ur� <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$78.00 <br /> IS REQUIRED. DEPOSITS,WILL BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE X10$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 END 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 END PREMISES. <br /> �Q SIGNATURE OF APPLICANT//"42 DATE lb <br /> SIGNATURE OF RELEASING OFFICIAL' DATE <br /> FN 00 14 (REV 12192) ' <br /> I <br />