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001061 <br />SAN JOAQUIN COUNTY �1 MAR z j@ao <br />PUBLIC HEALTH SERVICES ENVIRONMENTAL hCALTH <br />ENVIRONMENTAL HEALTH DIVISION PERMIT /,SERVICES <br />PUBLIC RECO"S RE FASE "PLICATION <br />ADDRESSAPPLICANT— <br />a' • - .• <br />AGENCY <br />ADDRESS ,� ' : ys <br />�a2�t� • 'T-O�`TG -- C.t�'��kSS PC�T«G �c-�.+�','(�. tl(,'I�Y-,. 1 <br />�' 3'0 TCS 'C� �F1T S1Fit :,5c-VNI1C�, (/U A r 0 ^V <br />:tA-- <br />al' ilIfII' <br />THIS NOTICE IS SURTECr TO THE ANTS IDENI"PI 'iD IN THE PIJBL[C REALTH <br />SERVIC IS/ENYIRONMENTAL IMALTH DIVISION (MID) POLICY #91-007, ORDINANCE CODE OF SAN <br />7OAQUIN COUNT', EFID FEES AND SERVICE CHARGE RESOLIMONS, STATE WATER CODE, <br />DOVERNMEN`I' COD& AND THE EVIDENCE CODE. <br />A MAXIMIYNI OFTEN (10) PREMISE ADDRESSES PER REQUF,.}T. <br />2. PUBIC RLES/RECORDS kUVIBW ARE EY AUQINlUWMDliLY. APPOINTMEN'T'S ARE <br />ARRANGED BY CALL NG (209)46s-0340. OFFICE HOURS FOR APPOLNTMENTS ARE SCHEDULED <br />MONDAY T1IRU FMAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 11:00 NOON AND 1:00 P.M. TO 4:30 <br />P.M. <br />3. A PUBLIC RECORDS RELEASE APPLICATION AND A k ON- UMAM DEP0= OF $78.W <br />IS REQUIRED. DEPOSITS WILL BS RETURNED TO THE APPLICANT IF THE FILI3S/RECORDS ARE <br />NOT AVAILABLE WITRIN THE CUSTODY OF THE EHD. <br />4. THE ABOVE IDENTIFIED, DEPOSIT IS APPLIED TOWARDS THE TOTAL FELE REVMW FEE <br />CF;ARDS, '"E BAL"CE OF THE C'fIARGE-S ARE DUE AND PAYABLE BU To jXyffi-WjNr, • HE <br />DOCUMENT(S). <br />5. PUBLIC FILES/RECORDS NOT RE'T'URNED IN THE SAME CONDMON AS RECEIVED WILL'BE <br />CORRECTED BY UM BHD STAFF AT THE MCPENSE OF THE APPLICANT. MS ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT I;OR PAYMENT. <br />6. ORIGINAL PUBLLC FTT T'SIRECORDS SHALL NOT BE REMOVED FROM THE ERD PRAISES. <br />SIGNATURE OF APPtiCANT <br />SIGNATURE OF RELEASING OFFICIAL <br />EF( 00 14 (REV 12191) <br />To /To 30vd <br />DATE <br />DATE <br />.7��b999I6 <br />90:60 090(! N/60 <br />