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y" SAN JoAQuIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT t c.rK11 PHONE <br /> ADDRESS GFS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS AGWCy ID <br /> 3 s�ia <br /> � l[ <br /> �r�'cr~Lcuc[c.w. 3f3 lu "Truc.�► Rl v�_—_�. <br /> K <br /> BP 0. 4d <br /> ?�e 375 'C vd <br /> 1` � <br /> )Z- <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENT§ IDENTIFIED IN THE PUBIIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION(EHD}POLICY 1192-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END 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 PO O . 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 FILESI"CORDS 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 PAYABLEISO TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS.RECMVED WILL BE <br /> CORRECTED BY T146 EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDMONAL <br /> SERVICE WILL BE BILLBD TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT _ DATE <br />�F SIGNATURE Or-RELEASING OF=FICIAL DATE , <br /> { rill 00 14 (REV 12/92) <br /> t `} <br />