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SAN JOAQUIN COUNTY �7 -0 , <br /> � <br /> PUBLIC HEALnI SERVICES <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> /PUBLIC RECORDS RELEASE APPLICATION /l` <br /> APPLICANT �i //[ / PH `�O <br /> ONE NO 9O2'�7 <br /> ADDRESS 1-961T W 64_ <br /> AGENCY NAME- b" - 4j w• 06WiPHONE NO <br /> ADDRESS Ste'- ,.' ca�"'�""ITh <br /> FILET ADDRESS LL)AD AGENCY DA7� <br /> (p S S• e 5 <br /> .Q(jrj h I1 <br /> 5 wr�-1l <br /> -- - <br /> lo�S�A <br /> 17715 NOTICE IS SUBIFCP TO TILE REQUIREMENTS IDENTIFIED IN THE PUBI1C HEALI71 <br /> SI;RVICESlFNVIRONt.IENTALHEAI_TH DIVISION(F.HI))POLICY#92-007.ORDINANCE CODE OF SAN <br /> IOAQUiN COUNTY, FED FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> OOVFRNFIENT CODE AND 771E BVIDENCB CODE. <br /> 1. A MAXIMUM OF TEN (10) MaHSB ADDRESSES PER REQUEST. <br /> 2. PUBLIC' ITILFSlRC•CGRDS REVIEW ARE BY 11,j'POl l�TM11.GNT.nL�'1_Y ��)'POINITIFNTS ARE <br /> ARRANGED BY CALLING (209)468-0340. 01-MCE HOURS FOR APPOiN7TtENi'S ARE SCHEDULED <br /> FIONDAY"171RU FRIDAY "CLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P-AI. TO 4:30 <br /> P.M. <br /> 3. A Pt1IlIlC RECORDS RFLEASL• APPLICATION AND A NON-REFLW II I:DEPOSIT 01"$7g.00 <br /> IS REQUIRED. DEPOSITS WILL BE RE'11JRNED 7'0 "11111 API'UCANT IF 1141: FILl35/RECORDS ARE <br /> NOT AVAILABLE WITHIN THB CUSTODY OF THE FHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPILIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF"RIB CHARGES ARE DUE AND PAYABLE pRio TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILFS/RECORDS NOT RETURNED IN THE SAKIF CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE L:HD STAFF AT TILE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO 711E APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PII_EVRECORDS SHALL NOT BE REMOVED FROM THE E11D PKFMISTS. <br /> SIGNATURE OF APPLICANT DATE 1 �{ <br /> SIONKnJREOFRELEASING OFFICI DATE <br /> Ell 00 14 (REV 12192) <br />