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SAN JOAQUIN COUNTY <br /> PUBLIC MALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> A - o 65 -71 <br /> ADDRESS <br /> AGENCY NAME C 2T NE NO <br /> ADDRESS <br /> Lu-E A17DRBSS LEAD AGENCY DAT <br /> e <br /> —( f a k . ` M <br /> THIS NOTICE IS SUBJECT' TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SRRVICES/ENVIRONMENTAL HEALTH DIVISION(FID)POLICY#'92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MID PHF?9 AND SERVICE CHARGE RESOLUTIONS, STATE WATFIT CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST'. <br /> 2. PUBLIC FILES/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$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RET";LNED TO THE APPLICANT IF THE FIL.ES/RECORDS ARE <br /> NOT AVAILABLE WITHIN TILE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDEN11PIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CH/)RGES ARE DUE AND PAYABLE P$ ([j�TO REVIEWING TALE <br /> DOLUMErms). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED M THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE ERD STAFF AT THE EXPENSE OF TER APPLICANT. THIS ADDITIONAL <br /> SERVICE WHL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FRES/RECORDS SRAL.L NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> CTGNATIIR"1F RELEASING OPFIC7AL_ DATE <br /> LH 00 14 (REV 12192) a <br /> =H'd 26SETSSI r11 IdOad WHSF:TT 266T-9c-A0 <br />