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SAN JOAQUIN COUN'T'Y <br /> %g/ MJRLIC Rs"TH SUVICES <br /> MOMONMZNtAt LTHION <br /> PUBLIC RECORDS RELEASEAPPIl ICATION <br /> APIA MANT M i k.e. lE*:,,hLRH0NE NO ( 51 0) 5 Z 1 - 3 -3 <br /> ADDRM 1 v Zf� <br /> A0W4CV R ONS NO <br /> ADDRESS <br /> FUZ ADDRESS LB,AD AGENCY1 7300 <br /> DATE <br /> 1-7 1(v-7 ` <br /> PAYMENT <br /> RECFWED <br /> PI8�WEA�I„4sERVIG ,g <br /> ENVIRONMENTAL HEALTH DIVISION <br /> THIS NOTICE I9 SUMECT TO THE REQUIREMEN'T'S IDBNTIT'IBD IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION(EHD)POLICY#92-007,ORDINANCE COD13 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 T13N (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW AR13 BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANOED 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 /> S. PUBLIC FILES/RECORDS NOT RETURN13D IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRBCTM BY THE EHD STAFF AT THE EXPENS13 OF THE APPLICANT. THIS ADDMONAL, <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL.NOT BE REMOVED FROM THE 13HD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 5 i t <br /> .. 5 <br /> SIGNATURE OF RELEASINGClrfli�ljr�,14. <br /> 'TB <br /> EH 00 14(REV 12/92) <br />