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I�AJ 1'�I1� M 1 11 '•/1.' �� �// y' <br /> SAN JOAQUIN COUNTY 2 3-L-, <br /> PUBLIC HEALTH SERVICES <br /> ENVIROMMENTAL HEAL'T'H DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT jp mek W,I�a,><LLua� Geo NlAlrv..w�a pONH I�947-�/Oe 6 <br /> Ss -- <br /> AGFSICY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DA[$ <br /> J E. \jMN.w�V,N M. TFacV qic OAS- £hD <br /> C"oiajkr— <br /> a,. l-,. STCPAS —Islit) <br /> Z42� uo�.� �11i� , Yru. <Tr P9.lS-fel <br /> 7 lu) i ,1,._AI aoa <br /> iiiIS NO'nci: IS SUBJECT TO TIIE REQUIREAIT:NTS IDENTIFIED IN I-HE PUBLIC 14EALTI4 <br /> SERVICES/ENVIRONh3EN"I-AI.14EALTII DIVISION (1-11D) PGIICY y2-1!07, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, OID FEES AND SERVICE CIIARGE RESOLUTIONS, SI-ATE WATER CODE, <br /> GOVER.NNIENT CODS AND THE EVIDENCE CODE. <br /> L A hfA.XIMUhf OF FFN (N) PREMISE ADDRESS CS PER REQUEST, <br /> 2. PUf311C 17II.ES/R 14CGRDS REVIEW ARE BY AfOIM1T NT Oi\1.1'. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)1680310. OFFIC'c HOURS FOR APPOINTMEN"I'S ARL• SCIIEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AALTO 12:00 NOON AND 1.00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS 0.ELGASG APf'LICA'n ON ANDA \ON-REFUNU.%RI.F DI:PO51'P OF 578.00 <br /> IS REQUIRED. DFPOSI'TS '.FILL. BLRm'URNED 'F0 -I"ILL' APMICANT IC 'IITE 1"ILL RRL:CORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE- AND PAYABLER)_' IUR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RE-TURNED IN THE SAME CONDITION AS RECEIVED MLLBE <br /> CORRECT-En BY THE EHD STAFF AT THE EXPENSE OF TILE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FIL Es/RECORDS SHALL NOT BE REMOVED FROM DIE END PREMISES. <br /> SIGNATURE OP APPLICANT DATE <br /> SIGNATURE OF RELEASING Or F1CfAL DATE <br /> IJf 00 14 (REV 12/92) <br />