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12-28-1995 2:SSPM FR' AGE NC 209 956 0700 P. I <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> (AcILANOVO �seo£�vilaYlvt4n40•t. `0 l <br /> APPLICANT T - C tlle! --PHONE NO (d�) q Lf <br /> ADDRESS <br /> AGENCY NAME PHONH NO <br /> ADDRESS <br /> A D A_ S LEAD AGENCY DATE <br /> X315 N, E St t <br /> 232a N E I Docea t ► <br /> l` o W. �SePia O <br /> b4$ w. �biaD;nw , ECS <br /> 1l1 � Nt�aoin0. � <br /> ENVIRON <br /> /3 <br /> 16 V. klf2An*jn& <br /> ti u_ Fro <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENT'S IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTALH13ALTH DIVISION(EHD)POLICY x92-007, ORDINANCE CODE OF SAN <br /> IOAQIITN COUNTY, 13TD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND TH13 EVIDENCE CODE. <br /> I- A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC RLES/RECORDS REVIEW ARE BY POI E ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)46!1-0340. OFFICt HOURS POR APPOINTMENTS ARL! SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 1200 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORI3S RELEASE APPLICATTON AND A NON-RFFUNI)AILE DEP=T OOFF$788..0 <br /> IS REQUIRED. DEPOSITS WILL, BE RETURNED TO THE APPLICANT IF THE Fid <br /> NOT AVAILABLE Wf1HIN THE CUSTODY OF THE EHL). <br /> 4, THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLERP IOR TO REVIEWING THE <br /> DOCU14FI'MS). <br /> 5. PUBLIC FILESM91CORDS 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 FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE ) 2.7 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12192) <br />