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Z <br /> SAN JOAQUIN COUNTY <br /> PUBLIC JaEALTfJ SERVICES <br /> EN-VTR0PUvMNTAL RFA-LTR DMSION <br /> PUBLIC RECORDS RELEASE APPLICA'170N <br /> APPTICANT <br /> ;�vj , �M MON11 NO <br /> ADDRESS <br /> NATVM IV a m 6 41 <br /> AG13NCY -Aj .7 V i v o r) 41 v K ja I PHONE NO <br /> ADDRESS I I o2 w- Marc <br /> AQRI-QY DA'I`E <br /> AAA- -5�41-rfwrl- <br /> 105' 1 :5 krF'4 <br /> 5 7� .0 of <br /> THIS NOTICE is SUPJEC-T TO n4E REQUI-RE)4JENTS IDEN-nFIRD IN THE PUBLIC HEALTH <br /> sERNrIcE.S/uNvrRoNMENTAL HEALTH DIvISION (F-14D) POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQT-TIN COUNTY, EHD FEES AND SERVICE CHARGE kESOLU11ONS, STATE WATER CODE, <br /> GOVERNMET-rr CODE AND THE EVJDENC13 CODE. <br /> 1. A MAX*jNf(jjf OF TEN (it))P)RENIISE ADDRE!,SSES PER REQUEST. <br /> 2. PUBLIC f-jLES/REcoRL)s Rr-.'4E-NV ARE BY' APPOINTMENT ONLY. APrOINTMENTS ARE <br /> ARRANGED BY CAIJANG (209)4,63-0341- orfqcL? IjoLTRS FOR APPOINTMENTS ARF- SCHEDULED <br /> MONDAY JIM) FRIDAY EXCLUDING HOLIDAYS, 3:00 A.M. TO 12:00 NOON AND 1:00 P..NI- TO 4.30 <br /> P.M. <br /> 3. A PUBLIC RECORDS R-ELEASEAPPLICAnON AND A NON-REFUNDABLE DEPOSIT OF $73.(X <br /> IS REQU`IRED. DEPOSSITS 'WILL BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE W171UN THE CUSTODY OF'ME EHD- <br /> 4. TI-JU A13OVE IDFI�MFIFD DEPOS)T IS APPLIED TOWARDSTIM TOTAL f9l-F, REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PIUOR TO R.E-VlI3-WlN4G I I I E- <br /> DOCUMEN'T(S). <br /> 5. PUBLIC FILES/RECORDS 140T RFrURNED IN TEE SAME CONDITION AS RECEIVED 'WILL 88 <br /> CORRtif-l-ED BY TJIE 041) STAFF AT THE F-X PENSE OF THE APFUCANT. THIS ADDMONAL <br /> SERVICE "Ll,13F RILLF13 TO THE APPLICANT FOR PAYMENT. <br /> ORIMNAL PUBLIC FILES/RECORDS S14A1T-NOT BE RF--NIOVFD FROM THE RHD PREMISES. <br /> SIGNXI-VREOF APPLICANT Xm'Z, DATE 12-- <br /> SIGNATURJ�OF RHI.FASING OFFICIA I, DATE <br /> EH 00 14 (REV 12192), <br />