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u-Gh-I_'�'=0 O=�OMI•1 r Y.l ^+ HI�G I Vl.. GYJ� =^'O C.'�R)C! �/�� � r+�� '�✓""� <br /> RECEIVED- <br /> APR <br /> CEIVED 1 g� <br /> APR 2 1996:._ SAN JCAQIN COUNTY APR 1996 <br /> PUBLIC HFAL'I'II SERVICES NVIRONM:.NTAL HEALTH <br /> ENVIRONMENTAL HEALTHF.NVIRONMFAWAL IIEALTIi DIVI£1O RMIT I SEr'./ICES <br /> °UM1T / SE�lVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Ay4~ f�7tI✓J2 ONE NO 9S 4a OM 6c,/ <br /> ADDRESS—( +/ s 7 C4.0, <br /> AGENCY NAME i.d;- Fi tS� PHONH NO <br /> ADDRESS <br /> FII xJ gDDRFSS LEAD AGENCY DATE <br /> 3 r,Gayj,-4e;flev <br /> l7S4 <br /> l5p" <br /> T1115 NOTICE 15 SUBJECT TO TILE REQUIREMENTS IDENTIF1E13 IN TI1E PUHLIC HEALTH <br /> SERVICES/ENVIRONME•NTAL HEALTH DIVISION (E1LD)POIJCY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, FIID FEES AND SERVICE CHARGE RESOLUTIONS. STALE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER R-EQUEST. <br /> 2. PUB11C FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINT\iENTS ARE <br /> ARRANGED BY CALLING (:09)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS. 8:90 A.M. TO 12:00 NOON AND 1.00 P.J.I. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-R EFUN DA BLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED 1-0 THE APPLICANT IF THE 1-19 FS ARE <br /> NOT AVAILABLE WIT'IUN THE CUSTODY OF THE 041). <br /> 4. 114E ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OFTTifi CHARGES ARE DUE AND PAYA131-E YRIOK TO REVIEWING ME <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECL-IVED 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 MLESIRECCRDS SHALL NOT BE REMOVED FROM THE EHD PREMISE//S. <br /> SIGNATURH OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> PH 00 14 (REV 12192) <br />