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SAN JOAQUIN COUNTY ' % / 'O31 <br />/ PUBLIC IIHAL111 SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT 141dr we �rs /7377 fBITONI3 NO P /. 7p'? <br />ADDRESS W. fa- 30 <br />AG04GV-t4AM1R-- 6g& PHONE NO <br />ADDRFSS <br />FiI.H ADTIJRESS T RAD AGOW-CY DAi13 <br />�[Ea� GAl.� 6w F3rr�rrtt�D � 77�d9T �i[x3 w/!.� B6 A�Nc�3c� � ,I� <br />TRIS NOTICE IS SUBJECT TO TI1E REQUIREMENTS IDENTILIED IN IIIE PUBLIC HEALTH -yy- <br />SLRVICES/ENVIRONM CNTAL HFA1.111 DIVISION (GIID) POIJCY#92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY. EIID FI=ES AND SERVICE CIIARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODS AND T1113 5VIDEJ.IC8 CODE. <br />A MAXIMUM OF TEPt (10) PREA1ISI3 ADDRESSES PER REQUEST. <br />Z. PUBLIC 01-ES/RECORDS REVIEW ARP. BY APlM(fff'MLtlLO�!.)APPOINTMEN'{'S .\RE <br />ARRANGED BY CALLING (2.99)368-0340. OFI;ICL• HOURS FOR APPOINTMENTS ARE SCIII-OCILED <br />RIONDAY 71iRU FRJDAY EXCLUDING IiOUDAYS. S:OO A.Ai.'f0 12:00 NOON AND 1:00 P.M. CO.4:30 <br />P.M. <br />3. A PUBLIC RECORDS RELEASE APTLICA11ON ANDA NON -gr FIJNUARf_ - DE!'Osl'I O!+''78.00 <br />IS REQUIRED. DEPOSITS WIIL BE RETURNED TO TILE APPLICANT IF TILE FILLS/RL-CORj:)S ARE <br />NOT AVAILABLE WM4JN T11E CUSTODY OF TILE EIID. <br />4. TIM ABOVE IDENTIFi);1 DEPOSIT IS APPLIED TOWARDS THE TOTAL. FILE REVIEW FEE <br />CHARGE. 'INE BALANCE OP 7:55 CIIARUES ARE DUE AND PAYABLE ?RIOR TO REVIEWING TILE <br />DOCUMENT(S). <br />5. PUBLIC FILESIRECORDS NOT RETURNED INTI IF SAME CONDITION AS RECEIVED WILL. BE <br />CORRECTED BY THE SLID STAFF AT 114E EXPENSE OF TILE APPLICANT. TIIIS ADDI-11ONAL <br />SERVICE WILLRE BIF T R TO THE APPLICANT FOR PAYMENT. <br />6. ORIGINAL PUBLIC PSLFSlRECORDS SHALL NOT BE REMOVLll FROAi TILE EHD PREMSSFS. <br />SIGNATURE OF APPLICANT <br />DATE .2 <br />SIGNATURE OF RIMEASING OFFICIAL v DATE <br />01 00 14 (REV 12/92) <br />