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0 arlaya, W'v: yGY- 0138 <br /> y SAN BL,TC B QTJTN COUNTY qty. o��l, <br /> �LIc HF.A.1.T"fi sERvzcEs '�F:( ,�jj/�� <br /> ENVIRON?%IMNTA.L BYALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> I CANT /` u� r PHONE NV44 UGwlipJJADDRESS O it/• W! O.�/ EALTH <br /> AGENCY NADffi /!h2PHONE NO ERVCES <br /> ADDRESS- -- h tlr l 1 en D� <br /> MB ADDRESS LEAD AGENCY DATE <br /> rr, <br /> yp 4VA WIr <br /> wt eu - <br /> 191— <br /> Z 5 <br /> 1U�5� W vu Aw.e�u 57�ac ra Cr_ z <br /> ZlRW n �� �rlCl�.vJ "Otut1� <br /> ED17-C- EUl <br /> THIS NOTICE IS SUBIECT TO THE REQUIRE.+,SENTS 1DEN71FIED IN THE PUBLIC HEALT'Fi <br /> SERVICESIENVIRONI.SENTAI.HEtiLTH DIVISION (EHD)POLICY ^92-007,CRDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, FIJI) FEES AND SER',ICE CHARGE RESOLUTIONS, STATS WATER CODE, <br /> GOVER.NMENT CODE AND irS EVIDENCE CODE, <br /> 1. A MA)7ASUl.I OF TINT(10) PREMISE ADDRESSES PER REQUEST. <br /> 2, PUBIIC FILES1RECORDS REVIEW AAE BY APP01N71MENT ONLY. APPOINTMENTS ARE <br /> Ai.AANGED BY CALLING (:0S),58-03=0. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, S:00 A. S.TO 12:00 NOON`? AND 1:00 ?,M. TO 4;30 <br /> P.M. <br /> 3. A PUBLIC RECORDS R-J-FASE APPLICATION AICD A NON-NON- EFUNDABL$DEPOSIT OF$78.00 <br /> IS REQUMED. DEPOSITS WILL BE R>T WED TO THE APPUCA.`.''T IF THE FILESR- ECORDS ARS <br /> NOT AVAILABLE WITHIN HE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 15 APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE FRIO TO REVERING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILESAUCORDS NOT RETLM"NED IN THE SAME CONDITION AS RECEIVED V,9L L BE <br /> CORRECTED BY THE EHD STAFF AT 773E EXPENSE OF 1.145 APPLICANT- THIS ADDITIONAL <br /> SERVICE WILL.BE EllFD TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRECORDS SLAB.NOT BE REMOVED FROM THE EHD PRET.S7SES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE -!- <br /> EH 00 14 (REV 12192) <br />