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go= <br />•0r "A <br />Vrc�' M 0 <br />#AN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONNUENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />ONE NO_2 0• <br />c <br />I <br />S 2-0 <br />-C? LIT< - /Z LIS <br />BLE -ADDRESS LEAD AGENCY DATE <br />� - el <br />.701 M M tic 66a11si- <br />- If c-1 <br />jq AllallL <br />qv <br />V ArPAYMLNT <br />K <br />MAR <br />SAN JOADQUECOUNTY <br />1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FILES/RECORDS REVIEW ARE BY APP0-IhMffiNl 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 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 />5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE ERD 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 />V) SIGNATURE OF APPLICANT, <br />SIGNATURE OF RELEASING OFFICIAL <br />EH 00 14 (REV 12/92) <br />DATE <br />DATE <br />