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zea-3 � A <br /> —0 <br /> fiAN JOAQUIN COUNTY <br /> pL1RI,IC HEALTH SERVICES <br /> F,NvIRo NMFNTAL HEALTH DIMION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> + PHONE NO <br /> APPLICANT<. . i. 'IL s—. f� <br /> ADDRESS PHONE NOU <br /> AGENCY NAME ! 1•' ` <br /> ADDRESS ` E <br /> l il� <br /> A1FMT `- <br /> .'i• 11i I JI�i1 f'yt �n�-;. � 3 z' ! �►riraT►G Y <br /> JA <br /> ' "1'1.a vt{+ , `� E AN JOAQUIN COUNTY , <br /> L41 1 a j.W ENv�Baniee TAL+��+ INVI u <br /> vv <br /> � a� Tf nult 1A <br /> !i° <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN. THE pUBLIC.:HBAI TH <br /> SERvICEWENVIRONMENTAL HEALTH DIVISION(ERD)POLICY!192-007,ORDINANCE CODE OF SAN .. <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> s GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN (10) PREMISE ADDRESSES PER REQUI3ST. <br /> If: APPOINTMENTS ARE <br /> 2, pUI;_.*C FILFS/RECORDS REVIEW ARE BY O 3 <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR'?APPOINTM� ARF 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 /> A PU13UC RECORDS RELEASE, APPIJCATION AND A NON-REFUNDAM DEPOSIT OF$78.00'; <br /> }4 <br /> IS REQUIRED. DEPOSITS WILL Br, RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE; <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <br /> 4. THE ABOVE IDENTIFIED DE IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE, <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> E} DOCUMENT(S). <br /> S. PUC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> BLI <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL:`„ <br /> <f y SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> . ' <br /> ,..� .r? - <br /> SIGNATURE OF APPLICANT ,!'• ; DATE � <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />