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�./ SAN JOAQUIN COUNTY PUBLIC HEAL;1'II SERVICES ENVIRONMENTAL IIEALTII DIVISION PUBLIC RECORDS RELEASE APPLICATION APPLICANT 3CeL,e nka C� �rc PHONE NO 2e9- yyy-VZ.eo ADDRESS l o•Bvx ?� S/ocRlovr Cil 9sTi�1-3u so AGENCY NAME PHONE NO ADDRESS FILE ADQRIrSS LEAD AGENCY DATE 3 o / S. .Q Llrnfr;. fie Siec/ �L t s Q m olio �4 a. I "' 6 rQ 1 �N H Sao N. Uh,'o� S . l fI 'a „ ' (a v/L' . 420 /O , d 1• tlnaos,L 5yo N. ✓for4 ¢¢. C'be✓fah SAfr�'ar 107j� E• SC d�fS /f'Jv. 74r1� �G /i„/V 4.J. q 35 fceY-16 A-y-e SicEle I�/�neIwst 3 ,%�i (o SS' Ilrork 5/ . 9i& kof441a gr.;. LAD TIIIS NOTICE IS SUBJECT TO 77111 RFQUIRFMEN'1'3 IDFN'IIFIED IN T'HE PUBLIC HEALTH SFRVICFS/ENVIRONMENTAL IIFAI-TII DIVISION (EF11)) POLICY#92407, ORDINANCE CODE OF SAN 10AQUIN COUNTY. EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, GOVERNMENT CODE AND TFIE EVIDENCE CODE. I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY T11RU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 P.M. 3. A PI111LIC RECORDS RELEASE APPLICATION ANI)A NON-RC•FUNDABLE DEPOSIT OF S78.INF IS RFQUIRED. DEPOSITS WILL BE RM- JRNED TO TIM APPLICANT 1F TIIE FILES/RECORDS ARE NOT AVAILABLE WITHIN Tim CUSTODY OF TTIE MID. 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE CIIARGE. T11E BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE DOCUMENT(S). 5. PUBLIC F1LIiS/RECORDS NOT RETURNED IN 1I113 SAME CONDITION AS RECEIVED WILL BE CORRECTED BY THE EIID STAFF AT THE EXPENSE OF TILE APPLICANT. THIS ADDITIONAL SERVICE WILL. BE BILLFD TO THF APPLICANT FOR PAYMENT. 1� 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM TILE DID PREMISES. SIGNATURE OF APPI DATE /y�,�✓ SI(1NA'IURF OF RFI.FASING OFFICIAL___._-_,_—_________. DATE _ EII 00 14 (REV 12/92)