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I 'L4 -IJ-J/ O%t'JV/V'I I ,N �P� i,v cw ...✓.+ of • . <br /> SAN JOAQUIN COUNTY �7 <br /> PUBLIC IIEAL'nl SERVICES <br /> ENVIRONMENTAL IIEAL'I'EI DPASION <br /> /PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT--Ah ne PHONE NO <br /> ADDRESS 1X6;! A/ n•f�- x� � <br /> AGENCY �HONE NO <br /> ADDRESS 57`ta .JC Jf► ShC���•+'16+�a <br /> FILD ADDRESS LMD AUENCY DDA <br /> 1'be,47 <br /> LAS l <br /> U '' �S /F3 S S �4 vol i+ S7lexrs l STS —--- <br /> y400 h A & A ��i 7r <br /> /'/ - <br /> uS <br /> THIS NOTICE IS SUWFCI TO T11E REQUIREMENTS ICENTIFIED IN THE PUBLIC HEAhTH <br /> SERVICESIENVIRONMENTAL HI•AL.TII DI VISION(Fill)) POLICY.#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E11D PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> f. A MAXIMUM OF TEI,t (I0) PREMISE ADDRESSES PER REQUES '. <br /> 2. PIIBUC 1:II.FSIRFCORDS REVIEW ARE BY AI'POMTh1;Nj p I.I.Y. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE IJOURS FOR APPOINThIENTS ARE SCHEDULED <br /> MONDAY T7IRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 13:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBUC RECORDS RELEASIS APPLICATION AND A NON-RICEILNI)pIII, DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RhlURNED TO -11113 APPLICANT IF IRE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHO. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS 'IRE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE 'R! TOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED 1N THE SAME CONDITION AS RECEIVED WILL.BE <br /> CORREC `FF) BY THE END STAFF AT TIES EXPENSE OF TIIE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PII.FSJRECORDS SHALL NOT BE RFMOVED FROM THE 111413 PRL MISLS. <br /> SIGNATURE OF APPLI CANT DATE <br /> SIONATUREOFRELEASING OfFICI� DATE "1 7 <br /> Eli 00 14 (REV 11/92) <br />