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- N JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMWgTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO - <br /> ADDRESS <br /> AGENCY NAME PHONE NO Ya-)3 LIS <br /> ADDRESS Z E. 5 <br /> B DRESS LEAD AGENCY <br /> 5 <br /> y,, Ll <br /> 1-751 it t% <br /> 7,q S lC W• .yob r ..� �` <br /> 2 I � <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-407,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E 4D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I.. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILTsS/RECORDS REVIEW ARE $Y AEEQRD39M ONLY- APPOINTMENTS ARE . <br /> ARRANGED BY CALLING (209)46$-0344. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:04 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 THB APPLICANT IF THE FaMIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHDI <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIEDi TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES An DUE,AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FMM/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE HHD STAFF AT THE EXPENSED OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE 13ML.ED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL.PUBLIC FMES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12192) <br />