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B-01-1997 d: ISPM FR#&AGE NC 209 956 0700 -P.-2 <br /> • <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES T <br /> ENVII20P NZj-,r 'AL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Kevin McKi bb+Yl PHONE NO <br /> ADDRESS <br /> AGF-NCY NAMSAJyoac,c T� Fny)v0nfjl•N7a ( PHONEtNO gs�'OZ6 <br /> ADDRESS 1103 W MILLI Ing SLr /} 5 6CKIO!tj <br /> '\L/FILB ADDRESS LP-AD AGPIV�Y DATR <br /> 1' 1—HX3 EasT PurSL . i'N5 � i1 0 <br /> 706. M. 151 bel 0 <br /> O7( 5 A/. Nant+v- <br /> I F. N,'" Ay'e. <br /> 4. f��'_x�1 � <br /> 4 g F. N,'" . - <br /> 60tl N• E 1 Dergclo <br /> Pa tar SL. <br /> IN say SL. <br /> THIS NOTICE IS SUBJECT TO THE REQUIRE*fENTS IDENTIFIED IN THE PUBLIC HEALTIl <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (ERD)POLICY 792-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. EIjD FEES AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1• A NfAXIMUT.( OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC F1LES/RL-CORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTtdEN'iS ARE <br /> ARRANGED BY CALLING (209)4680340. OFFICE HOURS FOR APPOINTh3ENTS ARE SCHEDULED <br /> h(ONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8.00 A.M. 'f0 12.00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M- <br /> 3. <br /> .M.3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE.EHD, <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL. FILE REVIEW FEE <br /> CHARGE- THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILLBE <br /> CORRECTED BY THE RHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL. <br /> SERVICE WILL BE BILLED TO THE APPLICANT FDR PAYMENT- <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALT NOT BE REMOVED FROM THE EHD PREMISES_ <br /> SIGNATURE OF APPLICANT Zfil.c DATE <br /> SIGNATURE OFRELEASING OMCbd � DATE <br /> EH 00 14 (REV 12192) <br />