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00 1 <br /> FEB II 'q4 q: 117 rool1CG. IIJ(BBBBBBBBBBB r . <br /> BF�'b Haj <br /> 7_0'd 16101 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> EIQVIRONhWAWAL TiBALTH DIVISION <br /> PUBLIC RECORDS RT[.E R APPLTCATTON <br /> APPLICANT PFILJNB NO <br /> �. <br /> ADDRFLSS <br /> AQSNCY N v PHpNB IQOJ+(�gJ <br /> ADZS J <br /> Illma Aupsm IZA12 At�I3L.LL'Y DATB <br /> 115 7? <br /> _ I NVIRONIv1LNI <br /> THIS NOTICE IS SUBJECT TO THE RE - b IN THE PUBLIC HEALTH <br /> SBRVICVRIJ74 VIRONMENTAL HEALTH DIVISION QM)POLICY X792.007,ORDINANCE CODS OF SAN <br /> JOAQUIN COUNTY, E D FEES AND SERVICE CHARGE RESOII171ONS, STATS WATIM CODE, <br /> GOVERNMENT CODE AND TETE EVIDENCE CODE <br /> L A MAXIMUM OF TEN(10)PREMISE ADDREME4 PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMEM ARE <br /> ARUNG61) BY CALLING (309)465-0340. OPPICE HOURS FOR APPOW M[NPIS ARE SCUMMED <br /> MONDAY MIRU PJUUAY EXCLUDING HOLIDAYS, 6:00 A.M.TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.ML <br /> 3. A PUBLIC RECORDS RELEASE ATTIACATION AND A N N- ETU ND B DEPOSIT OP 575.00 <br /> 1S REQUIRED. PHPOSM WILL BE RETURNED TO THE APPLICANT IF THE FILESJRHCOADS ARE <br /> NOT AVARABLE WITHIN THE CUSTODY OF THE EMG• <br /> 4. T)Ip AROVb WE"MED DEPOSIT IS APPLIED TOWARDS TIM TOTAL FILE REVIEW FEE <br /> CHARLIE. THE BALANCE OF THE ChARGELR ARE DUE AND PAYABLE==TO REVIIiwR4Q THE <br /> DOCIJMENT(S). <br /> 5. PUBLIC FHIi.41RF.0 IM NOT RITIURNHDIN THE SAME CONDITION ASRECSIVED,WILL BE <br /> CORREMED BY 'LEE EHD STAPP AT TRH IDLPHNSE OF THB APMcANr. THIS ADI]TL'1ONAL, <br /> SERVICE WILL BE BILLIM TO THE APPLICANT FOR PAYMPNT. <br /> 6. ORIGINAL PUBLIC FLI.A9/Rl1CORDS SIJAL.L.NOT 05 REMOVED PROM THE END MENU ES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RFL.AANNG OFFICIAL DATE <br /> \\� EJl 0014(REV 12!92) ----- - <br /> \\U �'d SbBbS`.n� Ol Wg2L� IJti91=E�3 b66T-TTS <br /> sW TOTAL PRGE .001 w* <br />