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SAN JOAQUIN COUNTY `tom 3 K y <br /> PUBLIC UWA LT11 SERVICES <br /> ENYIRONKRNTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Cj�t \11}R�L16FF FHONE NO O-b$S-y<aS3 <br /> ADDRESS Shoo mwearI 4,E. $rE.T (OwcnQ_3z�' ` CA �A�za <br /> AGENCY NAME PHDNI3 NO <br /> AD13RESS <br /> 19M ADDR13S5 LEAD AGENCY DAT13 <br /> LlG_-E GasloaoCeN,ra; 53S s. rr�t*.. _ 9- 26-74 <br /> "j'4rn:.ld<!J a (Qi 8�7 S.tt hcz5r <br /> W.-A:.55. ." h a l S alaary,J <br /> Ci4gAS4,c FvEq*G a Z�1b!L!;g i A4r. <br /> Sen &�4n 1r�Cti Z35 M[k_ <br /> It1Ja��4,46,�I <br /> Awl s.Cnl .nc. <br /> gym✓ ti�sli� lzis-Cels►. <br /> 12xamygg rancxl..fs sF hz9 Coco S+ <br /> r� Aiefrt�`i-ia�s� 33x0 AI2.Vlyn <br /> IJleoc�t��cKL,neS J 39be +Ve�� � <br /> THIS NOTICE IS SUBJECT TO THE IREQUIRME NTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES(ENVIRONMENTALHEAL111 DIVLSLON(ice)POUCYM-%7,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, F71D PEPS AND SERVICE CHARGFi RESOLUTIONS. STATE WATER CODE, <br /> GOVERNMENT CODE AND IRE IMM13NCE CODIL <br /> 1. POBLIC FHnRECORDS RE-VLIIw ARE B7f AP1iQEwTMENT ONLY. APPOINT6'mms ARS <br /> ARRANGED BY CALLING (2D-"941340. OPPLCH HOURS POR APPORMIEN1S ARE SCHEDULED <br /> MONDAY TART]PRIDAY EXCLUDING HOLIDAYS.8:00 A-M.T*12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 2- A PUBLIC RECORDS RELEASE APPLICATION AND A NQUAHFUNDDEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO'THE APPLICANT IF THE FILF_SIRECORDS ARE <br /> NOT AVAIIABLE WITHIN THE CUSTODY OF THE EHD_ <br /> 3: TIM ABOVE IDPN71WIFD DBPOSTT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FM <br /> CHARGE. THE BALANCE OF TTM CIIARIGES ARE DUE AND PAYABLE MOR TO REVIEWING TILS <br /> DOC'UMBNC(3). <br /> 4. PUBLIC FRLSIRACORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TIM EHD STAFF AT THE EGENSII 017 THE APPLWANT. THIS ADDITIONAL <br /> SERVICE WILL BE BJLLHU TO 7ME APPLICANT FOR PAYMENT. <br /> i. ORIGINAL PUBLIC PH ESMPCORDS SHAH,NOT BE REMOVED MOM THE EHD PREMISES, <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE OF R19LEASING OFFICIAL DATE <br /> EH 00 14 (REV 10192) <br />