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SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPIICAN'T I PHONENO CSs� <br /> ADDRESS 2,HY (7 0 ak_ t , k e 5�O C �3S 7 <br /> AGENCY NAME � NE NO <br /> ADDRESS <br /> l�E ADDRI35S LEAD AGENCY DATE <br /> ;a f n F . lti m n L T1 n A,%-4 ro <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE FUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION(OW)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, ERD 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 FILESMECORDS REVIEW ARE BY AMINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)46S-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-REE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE REITJRNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WnRIN THE CUSTODY OF THE MID. <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 FII)R( TO REVIEWING Tkm <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTM BY THE BHD STAFF AT THE HXPENSLi OF THE APPLICANT. THIS ADDPIIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FII-ES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH OO 14 (REV 12/92) a <br /> 70'd £6S£TSST 01 WOJd WCS£:TL £66T-9Z-BO <br />