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12-28-1995 2:55PM FROM AGE NC 209 956 0700 P. 1 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES Uu Y u L 4 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION l <br /> APPLICANT T• ('ys��Nf A�vAN A f r'`o£nv loYl PHONE NO � pl / Q 5 o InLj <br /> ADDRESS A <br /> AGENCY NAME _PHONE NO <br /> - <br /> ADDRESS <br /> AADI2{�SS LEAD AGENCY DAT$ <br /> o Q315 nil El <br /> t ! K+, -e aS•�c, ��� r J <br /> O r e�I X36 i <br /> O 7.Uk i„t. l�.RDt�TelTl-- ✓'.i d-ro ,' i <br /> 3S• <br /> 11'1 w. Nr,aoinot 3o n naJ E� <br /> 0 9& F,- A�ra i no, 1A ENVIRO��� g <br /> 75 9s ERNf1T/SERVICES <br /> 1� <br /> 0 1 � AI. EtO •z <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDEN77nFD IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRON MENTAL HEALTH DIVISION(HHD) POLICY►'92-007, ORDINANCE CODE OF SAN <br /> IOAQUIN COUNTY, EIID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMHNT CODE AND THn EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10)PREMISH ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMEML„ONI.Y. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (2D9)468-0740. OFFICE HOURS FOR APPOINTMENTS ARH 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-RE.PIINUAIIL. DEPOSIT OF S78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE Fll ESIRECORDS ARE <br /> NOT AVAILABLE WITHIN TNR 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 PAYABLEKY IOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/R[CORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT- <br /> 6. ORIGINAL PUBLIC FII.ESIR£CORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES- <br /> SIGNATURE OF APPLICANT DATE I2�j115� <br /> SIONATV RE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/42) <br />