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SAN JOAQUIN COUN'T'Y ! �gFcFMFNT <br /> PUBLIC HEALTIi SFRVIC&9 sa- CENVVFO <br /> PUBLICRECOR S RELEASE APPLICA C f�Ty CrJllv3 <br /> / [HEgSSf��/fV <br /> APPIICANI �� PHONE NO ] <br /> ADDRES5 0,1�ZQg p4l p al, 11 lu�l0,S�In Q/4 RS 367 <br /> AGENCY NAMS_-L� _—PHONE NO <br /> ADDRESS <br /> I7LA_AI)llIISS I.I3AD ACIE3NCX DATE <br /> i — 1 N9 1/a <br /> K. -fes r— <br /> K. Thha�- <br /> e <br /> C'm usfrial PuDr, manicriq <br /> ]La.rvGernZv�du�•Erinl +"fir!_ - S [S,Twlu� 'al r ('. ., rtilerq <br /> rlAouron WfJEA) n7 - 1ng5 '5 . rna:.A St_ yllft:n�cn <br /> THIS NOTICE IS SUBJECT TO T116 REQUIREMEN'T'S IDENTIFIED IN WE PUBLIC HEALTH <br /> SE RVICES/ENVMONMBNTAL HEALTH DIVISION(MID)POLICY#92-007,ORDINANCB CODE OF SAN <br /> IOAQUIN COUNTY, ETID PEES 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 REVJBW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS 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 /> a. A PUBLIC RECORDS RELEASE APPLICATION ANDA NON-REFUNDABLE DEPOSIT OF 578.00,,. <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT- IF THE FIL.FS/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE E1ID. <br /> 4. THE ABOVE IDENTIFIED DFPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING T;IE <br /> DOCUMENT(S). . <br /> PUBLIC I'IL1iS/RP.CORDS NOT RETURNED IN 711E SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF TIIE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO TH13 APPLICANT POR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILFS/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNA'T'URE OF APPLICANT DATE 9/ag/9 � <br /> STGNATURE OF RELEASING OFIiC7AI, DATE <br /> I,JI GH 00 14 (REV 12/92) — <br /> � � � <br /> FU'd £6SEiSST X71 I•Inmj IIHS£:TT L66i-gE-90 <br />