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12-28-1995 2:SSPH FROM AGE NC 209 956 07©0 P. I <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DYV7SION <br /> PUBLIC RECO Rl)S RNLL:ASE AYPLICATIQN <br /> �^� 40 Eft <br /> Cl`� o�11y;}'alnNt'n� ) <br /> APPLICANT �;.- C �Ifa! ` �� n PHONE NO � 9 <br /> ADDRESS o � ft . 5 7 <br /> AGENCY NAME PHONE NO <br /> ADT�MS <br /> llApDRPSS LRAD AGENCY P� <br /> 315 nl, t Si St,(K P r Q r► <br /> 232 1J e + <br /> O <br /> � --� LAII,I E L' 99 <br /> L- <br /> WE <br /> RONM <br /> �5 E I /SERVICES <br /> T1115 NOTICE 13 SUBJECT TO THE REQUIREMENTS IDENTIFIFD W TIIE PUBLIC HEALTH <br /> SERVICES/ENVIRC)NMENTAL HI3ALT14 DIVISION(FHD) POLICY 992-007, ORDINANCE COTE OF SAN <br /> JOAQUIN COUNTY, EILD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> QOVERNMENT CODE AND THii EVIDENCE CODE. <br /> 1_ A MAXIMUM OF TEN (1o)PREMISE ADDRESSES PER REQUEST. <br /> Z PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTNjF-.N nNI.Y. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (204)468-0340. OFFICE HOURS POR APPOINTMENTS ARL' sCHEDU"D <br /> MONDAY THRU FRIDAY EXCLUDING H011DAYS, 8:00 AAM. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> 3. A PUBLIC RECORDS RELEASE APPIACATiON ANDA NON-RET UNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF WNL: BILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN TIDE CUSTODY OF THE END. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE IJALANCli OF THE CHARGES ARE DUE AND PAYABLE rRIO TO REVIEWING THE <br /> DOCUMENT(S)- <br /> 5. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILJL.BE <br /> CORRECTED BY THE EHD STAFF AT TILE EXPENSE OF THE AI'PIICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT_ <br /> 6. ORIGINAL PUBLIC FILESJRI:CORDS SHS-NOT BE REMOVED FROM THE EHD P"MISI S. <br /> SIGNATURE OP APPLICANT RATE � 2,141 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> P-11 GO 14 (REV 12/42) <br />