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A EIVASSOCIR?ES <br />12.22,19920:38 H0,12 P, 2 <br />SAN JOAQU N COtfM <br />PUBLIC HEALTH SERVICES <br />ExvlRoNNjEWA.L H1;.M TH DIVISION <br />PUBLIC RECORDS RFM. ASE APPLICATION <br />APPLICANT Roar/ �it/�i�C�i� PHONE NU C �l <br />ADDRESS iz Ott xo <br />AGENCY NAME. ---- <br />A D D P-VM <br />AMEADDP-VM <br />!= <br />THIS NoncE IS sum(.T TO 'Trig REQUIlt>?MENTS IDt NTIFMD IN TI38 PUBLIC HEALTH <br />SGRViC&4lTWMoNMENTALHFAL;rH DIVISION (SM) POLICY M-001, ORDINANCE CODE OF SAN <br />JOAQWX COUNTY, ERD FEFS AND SERVICfl CHARCM RESOLUTIONS, STA'I'R WATER CODB, <br />GOVERNMENT CODE AND THE EVIDENC9 CODE. <br />t. PUBLIC pit-o/RECORDS 1iBVIBW ARE BY AP TMENT ONLY. APi'OIIVTA+IEN>'S ARE <br />ARRANGED BY CALLING (209)4684340. OMC9 HOURS FOR A2POINTMENT4 ARE SC CWULrD <br />MONDAY THRU Jit.(DAY EXCLUDIN0 HOLIDAYS, 5:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br />P•M'aF0NDA�tt.R DEPOSIT Of $71,00 <br />2. A PtJBit� RECOltT�3 ltItLEASS AI'PLICATlCt1.1Nb A N:�I-,. �.�� <br />19 REQUMV. tir:Pos!14 %JU. BE RRIVRNED TO TRE APPLICANT IF THE i'1M/RBC0RbS ARE <br />NO'C AVAILABLE WMtIN Tli9 CUSTODY OF THE ts1U). <br />S.AE9 UIDE9GfBTOWARDS <br />P THE $O&FIER <br />CHARO61ENcOP THCHARGES ARIS E DANYABLE MM TO(i THE <br />DOCUMENT(g). <br />4. PUBIJc FILEB/RicoFJ)S NOT RETURNED IN THP. sAMP. CONDITION AS RECEIVED WML 99 <br />CORRECTED BY THE EH1y STAFF AT THE EXPENSH OF 'THA APPLICANT. 'THIS ADDITIONAL <br />3n.RVICg QVnL BE BW,,D To THE APPLICANT POR PAYMWr. <br />S. ORIGINAL PLM11C FII.RS/"ARDS SHALL NOT 8P. RE"TtD FROM THW ERD P"WSES. <br />SIC NATURR OF APPLICANT <br />,,.. DATE2- <br />SIGNATURE OP RFI.EASINO OFFICIAL �._., ____ DAM _ <br />FA 00 14 (REV 10/92) <br />DEC 22 192 14:29 916 325 4810 PAGE.002 <br />