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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SFa vlcF.S <br /> ENVIRONMENTAL HEALM DIVISION <br /> PUBLIC RECORDS RELEASE APPLICA11ON <br /> APPLICANT' Pf1ONE NO <br /> AJDDRI?Ss sem,%, .�1 osyG �11,.,T�x 9yss� <br /> AGENCY NAME — PHONE NO <br /> ADDRESS --- <br /> FILL ADL7RESS LEAD AGENCY DATE <br /> -- --PAYS NT <br /> -R E ct'lav Z <br /> UU N 7-2-TJJ13— <br /> SAN JOAQUIN COUNTY <br /> PIQJC H IF-I fi�sF <br /> THIS NOTICE IS SUBJECT TO 'THE REQUIREMENTS IDENTIFIED19" JT HEAJ"'THN <br /> SERVICES/ENVIItONNIENTAL HEALTH DIVISION(EHD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, PHD 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 REQUUST. <br /> 2. PUBLIC FILM/RECORDS REVIEW ARE BY APPOINTMENT MLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS A" 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 ITLES/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 TIE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHb 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 EHD PREMISES. <br /> 1� A z — <br /> `� SIGNATURE OF APPLICANT d DATE /� 3 <br /> SIGNATURE OF RELEASING OrPICIAL DATE <br /> EH 00 14 (REV 12/92) <br />