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)ob ?-0-3"?s-7-nl , I <br /> SAN JOAQUIN COUNTY <br /> PUBUC HEALTH SERVICES <br /> ENVIRONNMWAL HEALTH DrVISION <br /> PUBLIC RECORDS RELEASE APPUCATION <br /> 44S-- <br /> APPLICANT J�fA&- a L►�1'��. PHONE No I >L1S <br /> ADDRESS <br /> AGENCY NAME PHONE No <br /> ADDRESS I::--- - <br /> ADDRP_SSLEAD AGENCY DATE <br /> ci <br /> MENT <br /> R—EEI <br /> M® 8 1993 <br /> _ cane inerts jIN I.1'X.�.� <br /> PUBLIC SERVICES <br /> U <br /> EN I <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION )POLICY#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 /> L. A MAXIMUM OF TEN (10) PRFMSE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY AM-0319M ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)168-0340. 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 /> F.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 FHM/RECORDS ARE <br /> NOT AVAILABLE WITH N 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 /> S. PUBLIC FU ES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD 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 /> SIGNATURE OF APPLICANT n ti� DATE Z W <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />