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SAN JOAQUIN COUNTY 46 <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTII DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />NAME PHONE NO <br />wNp. <br />T141S NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUW <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #92-007, ORDINANCE Wow <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE <br />GOVERNMENT CODE AND THE EVIDENCE CODE. 0 CT 1 8 1993 <br />I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ON <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 HE 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 MM TO REVIEWING THE <br />DOCUMENT(S). 0 0 <br />5. PUBLIC FILES/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 / - <br />SIGNATURE OF RELEASING OFFICIAL <br />Ell 00 14 (REV 12/92) <br />170IN10 <br />