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• SAN .IOAQUIN COUN'T'Y <br /> PUBLIC TIEAL TI SF.RVICFS <br /> ENVIRONMEN'T'AL IIEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPIJCANTlryc4 ;o4nlG00 luw�/tlar�s�✓2 PHONE NO Log- 95�'-SfLoo <br /> ADDRESS d%ftPp /3ox Zn <4nck ,., C,�- 95-401-3040 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> TILE ADllRLSS LEAD AGENCY DATE <br /> I Zy 5- — A -• ; ��a <br /> 5'oo S A t�rof4 __ 3¢u lle,� C6r <br /> I Z 9 S. Gf/q„ 1- 5/-(a4,f- <br /> Neu �Inds�N Str�ef UJ /kr <br /> 3"3 /1/ • r..,, Si soc �iq�/-r>7.w,7`" y <br /> L/ L/�r S• (,it/1/Snw. lA/4W /A/�{n a• lt/e�w l..own/ik�Yl'�d�/d1 <br /> 931 E a�•e6��— � w° �` <br /> THIS NOTICE IS SURIEC'P TO TIIE REQUIRBMBN-I'S IDF.N'ITPIED IN THE PUBLIC HEALTH <br /> SFRVICFS/FNVIRONMFNTALHEALTH DIVISION (FI-ID) POLICY 992-M7, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. END FEES AND SERVICE_ CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THF EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILFS/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS 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 RELFASF APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS RFQ0IRED. DEPOSITS WILL BE RM- JRNED T'O THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OFTHE EHD. <br /> 4. THE ABOVE IDFN"IIFIFD 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 /> ROCU M ENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EIID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT( DATE <br /> SIGNA'IlIRF OI'RFI.EASING OFFICIAI, DATE __ <br /> Fill 00 14 (REV 12/92) - - -------- -- <br />