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Pse . <br /> 99-151 <br /> 1 SAN JOAQUIN COUNTY <br /> eV I� PUBLIC HFAT_TH SERVICES <br /> EIVVIROMIENI'AL EMA.LTH DIVISION -rip 7 " <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT �)_l'l YI `tP� 1 t11"� 1PIIONE NO tac9) !/617-109jo <br /> ADDRESS <br /> AGENCY NAME E��[• PHONE NO -- <br /> ADDRESS �fJflr, 11 �t1, //ii cnnl �( d n C`1bcY7nA) ('9 9sa o.S <br /> LB�DDRES$ LEAN AGENCY DATS <br /> ^I /Y1unrPr <br /> 08 r1 _n ?S�� -. �,� �- � us T, <br /> �- tr y- S . <br /> moo.$ er 1 - UZ7 — <br /> 1 L �t- RlAJ <br /> .. OV2r U-S7 <br /> THIS NOTICE IS SUBJECT TO THE REQU EMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVI CES/ENVIRONI.JENTAL HEALTH DI V1SI04(F34 D)Policy;92-M7,ORDJNAN('f1 C'OI)F:OF SAN <br /> JOAQUIN COUNTY, ERD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN(IC) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC F1LES/RECOn. S REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CAWNG (249)458-03:0. OFFICE HOURS FOR APPOINTMENTS ARF SCIIEDUI.F.D <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:U0 A.M.'I'O 12:00 NOON AND 1:00 P.M.TO 4:50 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RE7UR.NED TO THE APPLICANT IF THE FILESIRECORDS 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 PRIOR TO REVIEWING THE <br /> DOCUMFNT(S). <br /> S. PUBLIC FILESAMCORDSNOT RETURNEDINTHE SAME CONDITION ASRECEIVED WILL BE <br /> CORRECTED BY 774E END STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESMECORDS SHALL NOT BE REMOVED FROM TILE EIID PREMIISES. <br /> SIGNATURE OFAPPL]CANT 't ' ` DATE <br /> SIGNATURE OF RELEASING OFFI AL DATE <br /> Eli 00 14 (REV 12/91) -- --- <br />