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SAN JOAQUIN COUNTY '"d <br /> PUBLIC HEALTH SERVICES P <br /> ENVIRONMENTAL HEALTH D"ION 1,,f <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Ci zz(� f G t'S PHONE NO <br /> ADDRESS Ass«r-�-� �,��.� S�« fVc <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> LEAD AGENCY RATE <br /> 135`0 �Po�f <br /> !ol <br /> O JZ - Cal Am L) <br /> 0 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(IIID)POLICY x'92-007,ORDINANCE CODE 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 TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOMMIEN1 ONL . APPOWMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY T 4RU 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 NOtj-R <br /> JEEQNDAB DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CRARGES ARE DUE AND PAYABLE PRI.Q$TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FIL.ESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE Of THE APPLICANT. THIS ADDIMONAL <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 /> SIGNATURE OF APPLICANT DATE lPtll,0_1 <br /> SIGNA'T'URE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />