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IVA <br />SAN JOAQUIN COUNTY <br />Ill111LIC IIEAINII SERVICIF �./ <br />ENVIR(1NRIENTAL IIFAIXII DIVISION <br />PUBLIC 11ECORIS <br />APPLICANT/12 Q <br />ADDRESS—_ter.u/OJ, <br />AGFNCY NANIP. --"v <br />ADDRESS <br />RELEASE APPLICATION <br />o(i) N c)�, <br />- <br />PHONE NO aJr 2-� )C <br />FILE ADDRLSS LE-AU._AGENCY DATE <br />'IVIS NO'llCE IS SUBJFCI' TO 'I'IIR RITQUIREMFNI;S IDEN'IIFIFD IN 1'118 PUBLIC IIEALTLI <br />SI;RVICES/ENVIRONMENTAL IIFALTII DIVISION (FUD) POLICY #92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD FFFS AND SFRVICE CHARGE RESOLU-TIONS, STATE WA-rER CODE, <br />GOVFRNMENI' CODE AND TIIV RVIDRNCB CODE. <br />A MAXIMUM OFTEN (10) PREMISE ADDRESSES PER REQUE51'. <br />2. PUBLIC FILES/RECORDS RI;V1FW ARE BY AI'I'UIN'1'MENT UNLY. APPOINTMENTS ARE <br />ARRANGED BY CALLING (209)08-0140. OFFICE HOURS FOR APPOINI'MFNTS ARE SCHEDULED <br />MONDAY 111RU FRIDAY EXCLUDING HOLIDAYS, S:(N) A.M. 'fO 12:00 NOON AND 1:00 P.M. TO 4:30 <br />P.M. <br />3. A PUBLIC RECORDS RELEASE. APPLICA'UON AND A NON-REFUNDABLE DEPOSIT OF 578.(0 <br />IS REQUIRED. Dr -POSITS WILL Ili? RFII;RNED 1.0 TIIF APPLICANT IF THE FILES/RECORDS ARE <br />NOT AVAILABLE WI'1111N 1111', CUSTODY 017'111F. EIID. <br />4. '1111: ABOVE IDENTIFIED DI -POSIT IS APPLIFD TOWARDS 111E TOl-Al, FILE REVIEW FEE <br />('IIARGIi. 'IIIF BALANCE OF'I Illi CIIAR(,FS ARE MIR AND PAYABLE PRIOR TO REVIEWING'IIIF <br />DOCU M F,NTI S). <br />5. PUBLIC FILES/RECORDS NOT RITZ URNED IN'I IIP SAMF CONDITION AS RECEIVED WILL RF <br />CORRE(71'EU BY '11113 EIID STAFF A'1' TlIF. I-,XPIINS13 OF '111113 APPLICANT. THIS ADDI11ONAL <br />SERVICE W11J. RI's IIILLED'1,'O'1'IIF APPLICANT FOR PAYMENT. <br />N� 6. ORI(;INAI, I'11131.IC I'ILfdS/RISCOItUS SIIALL NOT' BF REMOVED FROM '11113 EIID PREMISES. <br />x SIr;NATURE OF APPLICANT <br />OwN1= F� <br />,R;NATURE OF IU?I.IiASiNG OPFICIAL <br />171 00 14 (RI' -V 112/Q2) <br />DA'Z'E 5 � % — <br />DATE: <br />