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. NVMSA,`I JOAQLTIN COUNTY <br /> •O LINMENTALL HEAL H�DIVISIONft <br /> P LIC RECORDS RELEASE APPLICATION// <br /> APPLICANT <br /> ��f RY L I Rl�l1T PHONE NOl°(�6� -� �� <br /> ADDRPSS_ z �i ' e rcl TScuctryPh}� PHONE NO Caws?- <br /> AGENCY <br /> c_.QAGENCY NAME_ K l�N FC/ r 2 <br /> ADDRESS ✓(6 S J <br /> t Ran AGENCY DAM <br /> LLE A.DDRF�$ <br /> -�- <br /> p �, h CD QNC <br /> �1,JIS m <br /> e 1� <br /> N�49 93_ <br /> a' <br /> --/q1 <br /> - <br /> Al. to <br /> 4 <br /> �LL S IDENTIFIED IN THE PUBLIC HEALTH <br /> THIS NOTICE IS SUS1bCT TO T REQUIREME`NTPOLICY#92-007, ORDINANCE CODE OF SAN <br /> V <br /> SERVICES/jl ONME;NTAL HEALTH DIVISION(EHD) <br /> JOAQUIN COUNTY, E04D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. ^ <br /> c ' <br /> APPOINTMENTS,ARE <br /> 1. PUBLIC FILES/RECORDS REVIEW ARE BY APPQINl 5 A SCHEDULEDARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENT'S <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 3:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 14:30 <br /> P.M. <br /> 2. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REn DABLE DEPOSIT OF 273.00 <br /> IS REQUIRED. DEPOS TS WILL BE RETURNED TO THE APPLICANT IF THE FIIFS/RECORD ; <br /> .. .I. <br /> NOT AVAILABLE THE CUSTODY OF THE EHD- _ <br /> 3.CHARGERE <br /> . THE BVE IDENTIFIED <br /> DEPOSIT IS CHARGES ARE <br /> DUE TOWARDS <br /> PAYABLE FRIG B T REVIEWING THE <br /> DOCUMENT(S). IN (T�SAME CONDITION AS RECEIVED WILE.BE <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED <br /> CORRECTED BY THE 'EHD STAFF AT TIM EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BII.�.ED TO THE APPLICANT FOR PAYMENT. <br /> ORIGINAL PUBLIC FII-ES/RECORDS SHALL NOT BE REMOVED FROM THE ERD PRISES' <br /> DATE 6 30 <br /> SIGNATURE OF APPLICANT <br /> DATE <br /> SIGNATURE OF RELEA SING OFFICI <br /> EH DO 14 (REV 10/92) <br /> I <br /> I ' d LC : II 26/06/01 WOdj <br />