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� I!J1V1 <br /> SAN JOAQU:IN COUNTY <br /> I'UISLIC 611,A1,T'II SERVICES <br /> ENVIRONAIE.NT'A.L TIEAL'M DIVISION <br /> PUBLIC RECORt)S RELEASE APPLICATION <br /> APPUCANT' /,,I LA-1 PHONE zvo����9� <br /> ADDRESS /A 7 <br /> AGENCY NAME(p�1.�tr c; 77, PHONE NO Qrl,y�p <br /> ADDRESS_ <br /> y v nu F. I r , i rl <br /> EILE ADDRESS L gAD AGENCY JJ DATA <br /> ID S, mrl rl ,Sf, ; t r-b1) TrCirl.Cr r _ <br /> �trin�fu lvd, rrlClYlkr� Pah _. <br /> = <br /> L . 000 <br /> 5 Qy�t i 0 ell <br /> ,'f.l ln) lf,, ;errs 2 lP <br /> � ,uS{ itJ tl ; oIm , _ -7 —� � <br /> coo �c <br /> 1.=Z 0 00-K St-, iG r .<. <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS 1DENTTFIED IN THE PUBLIC HEALTH <br /> SERVICBS/ENVIRONMENTALHEALTH DIVISION(EHD)POLICY M007,ORDINANCE,CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER COD& . <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOIIVIMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CAVING (1A9)46"340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY T74RU 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 RELEASE APPLICATION AND A NON-REFUNDABIB DEPOSIT OF$78.00-.• <br /> IS REQUIP_F". DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WPINN THE CUSTODY OF THE EHD. <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 PRIOR TO REVIEWING TkM <br /> DOCUMENT(S). <br /> 5. PUBLIC FILSS/RECORDS NOT RETURNED IN THE SAME CONDI'T'ION AS RECEIVED WILL BE <br /> CORRECTED BY THE EID STAFF AT THE��Et )CPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICr1NT FOR PAYMENT. , <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT J'j �,I�_ !Ju" L.L. t DATE I /L <br /> SIGNATURE OF RELEASING OPITICIAL ) <br /> DATE <br /> GH 00 14 (REV 12/92) <br /> ?0'd r65z15 T n1- WOHJ WUS£:TT £661-9Z-60- <br />