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0 w <br />Ahk <br />SAN JOA(2 UIN COUNTY <br />PtIBi,i(: HEALIII SERVICES <br />ENVIRONMENTAL IIEALT'II llIVISION <br />PUBLIC RECORI)S RELEASE APPLICATION <br />APPLICANT �j�✓ce /�i��,o� o //cvMr%/r/�C�P�.�,�rti PIIONE No —�Ldd <br />ADDRESS -7e, <br />AGENCY NAME PHONE NO <br />s RK •.YW <br />FILE ADDRESS <br />lo H N. 9 51-6eeL <br />YO ! PN sr o n Sri. <br />Ly3w 5.144 Sf. <br />0 M wi� <br />� 55 Rmopzv{4 <br />LEAD AGENCY DATE <br />. ju 15 <br />4 <br />/S���Gcderk�/r <br />C OT... ^v, <br />SD/L G+rl S/ cr /d�4r2f{ <br />5 e. , CG a+-'* /0 <br />C'oc — Cdr Cor, <br />ildtS NOTICE IS SUBJEcr TO 17117 REQUiREMENTS dOP.N'17PIED iN 'I'ii13 PUBLIC FIEALTII <br />SFRViCFS/ENVIRONMFNTALIIFAI:i7I DIVISION (END) POLICY #92-007, ORDINANCE CODE OF SAN <br />JOAQUiN COUNTY, EIID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNNIFNT CODE AND TILE EVIDENCE CODE. <br />A MAXIMUM OFTEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FiL,ES/RECORDS RFVIFW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br />ARRANGED BY CALLING (209)468-0340. OFFICE FLOURS 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 DEPOsrr OF $78.00 <br />iS REQUIRED. DEPOSITS WILL BE RETURNED TO TIIE APPLICANT iF THE FILES/RECORDS ARE <br />NO'r AVAILABLE WITHIN TILE CUSTODY OF THE EHD. <br />4. THE ABOVE IDENTIFIED DEPOSIT IS ADPL IFi) TOWARDS THE TOTAL FiLE REVIEW FEE <br />CTIARrF. 111E BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br />DOCUMENT(S). <br />l� 5. PUBLIC FiLFS/RFCORDS NOT RETURNED iN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE EIiD STAFF A'T' TTiE EXPENSE OF TIIE APPLICANT. THIS ADDITIONAL <br />\� SERVICE WiLL BE BILLED TO TfIF. APPLICANT FOR PAYMENT. <br />6. ORIGINAL PUBLIC FiLES/RECORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br />SIGNATURE OF APi'LiCANT f, �(? , .�_ Vl -,, t. _-/ DATE :, <br />Sd(;NA*IIJRr OF RELEASiNG OFFiCIALDATE <br />Fill0014 (RFV 12/92)_------_- <br />