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• SAN ,IOAQUIN COUNTY• <br /> PUBLICHEALTH SERVICES <br /> ENVIRONMENTAL IIEALTTI DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT F;r✓tt 1,44 n ,(ca� �4rt PHONE NO2Df- 9qV-S-U6 <br /> ADDRESS g ox ZcS5 a) 44, c* 9SL�/-3tJLc7 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> PILE ADllRLSS C / LEAD/ AGENCY/ / DATE <br /> A <br /> lo If /(V/. TF S{ar/rf �p ,/6 ofA� // <br /> 111% /Y . /- (JJr h/ W !'�14C�,N-� /.f�a4eks <br /> ?- c(5 r 0. c .el Low.n. o✓ v' <br /> pro / �/G M.,Dn a 7f• J5 ; r— 'c l <br /> �. n S �J/ L Gn./ SAu Cl/lin2(C <br /> /7Z2 E•T 1014 Sll. Sc i,(G w,s+,�Y/ �NS,//o 1l,Vii.. <br /> 00c - (W Crn <br /> 655 `t'.nUSevtl �ct!r', ��4s�r'c1t <br /> THIS NO'110E IS SUBJECT TO 111F RPQUIRPMPN'TS IDP.N'IIPIED IN 971E PUBLIC HEALTII <br /> SERVICES/ENVIRONMF_NTAL HEA 1:114 DIVISION (FHD) POLICY 992-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMFNT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY, APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THF APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITIHN TIIE CUSTODY OF THE MID. <br /> 4. THE ABOVE IDFNTIFIFD DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. TIM BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUM FNT(S). <br /> (\ 5. PUBLIC FH.FS/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> \` SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br /> SIGNATURE OFAPI'LICAN'T Ill c.✓ DAl'E <br /> SIGNAlURF OF RELEASING OFfICIAI. DATE <br /> Ell 00 14 (RFV 12/92) ___..---------_--_-- — <br />