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• 8-11-19% 4:SBPM FW AGE NC 209 95G 0700 • <br /> P. 2 <br /> ,�cb <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALT11 SERVICFS <br /> ENVMONMENTAL HEALTII DIVLSION <br /> PUBLIC RDS RELEASE APPLICATION <br /> APPL.CCANIT Cv �x� <br /> Q S qo� PfIONE NO <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS IMAA AGENCY <br /> DATE <br /> 4 <br /> `t�S�a�'1 -J .IMJi1Y1. � <br /> �a 2S R <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAI.AEALTII DIVISION (FAD) POIICY 092-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, RHO FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY ,4M' )INTME-NT ONLY, APM INTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINIMENIS 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 RELXASE APPLICATION AND A NON-REFUNDAIILF_ DEPOSIT OF$76.00 <br /> IS REQUIRI313. DEPOSITS WILL BE RETURNED TO THE APPLJCANT IF THE Ill-USIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE Eiji). <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIO TO REVIEWING THE <br /> DOCUME"s). <br /> 5. PUBLIC FILES/RECORDS NOT RERJRNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TIDE END STAFF AT THF EXPENSE OF THE APPLICANT. 11i1S ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EIID PREMISES. <br /> SIGNATURE OF APPLICANT BATF _ <br /> SIONATURL OF RELEASING OFFICIAL DATE <br /> ER 00 14(REV 12/92) <br />