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'sem <br /> SAN JOAQMN COlUNTY x' <br /> punuc HE AL'I 'SERVICES <br /> ENVIRONMP.NTAL IW,;AI.TH 1)"10N <br /> PUBLIC RECORDS RELEASE AP''PLIC.A,TION <br /> APPLICANT 1�v t C k o a T'6- r� PHONE NO -- <br /> ADIMS5151 .y 3 6. 1 I? <br /> AGENCY NAME nIONE NO <br /> ADDRESS <br /> PLLE ADDRESS Z A_ CY 7 <br /> M <br /> i <br /> l <br /> - -- - - SAN JOAQUIN C)LIN Y <br /> LTWi! Rill.,r; W_ <br /> ENVIRONMENTAL HF-ALt H IJI iI N <br /> TIIIS NOTICE IS SUBJECT TO THE REQUIRUMEN'X'S IDIH"11711?D IN TATS PUBLIC OF-ALTH <br /> SMVICESIENWRON11 EMAL11RALTI1 DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, RHD PEES AND SERVICE CRARGE P-PSOLUTIONS, STATE WATER CODE, <br /> GOVERHMI-NT CODA AND THE EVIDENCE CODE. <br /> 1. A MAilMUM OF'T'EN (10)PREMISE ADDRESSES PER REQUEST. <br /> I� 2. PU$ I E.5 O S-REV gW ARE BY OINTMENTS ARE <br /> L G IFIL /RI3G RT) ! APPOINTM APP <br /> ARRANGED BY CALLING (209)468-0340. OMCE HOURS FOR APPOINTMENTS ARE SCHEDtJLFD <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 RELEASE,A,PPLICA'fiON'ANb A-NON REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO 411B.APPUCANT IF THE FILES/RECORDS ARE <br /> NOT AVAILATM9 WMIIN THE CUSTODY OF THE END. <br /> 4. THE ABOVE IDENTIMED D1 POSIT IS APPLIED TOWARDS THE TOTAL RLS REVIEW PEU <br /> CHARGE. THE BALANCE OF THE CIIARGM ARE DUE AND PAYABLE PRIOR TO REWEVVING THE <br /> VOCUMENT(S). ,, <br /> 5. PUBLIC FILES/RECORDS NOT R MMD IN THE SAME CONDITION A3 RECEIVED WILL BE <br /> CORRBC'I D BY 114B EHD STAFF AT MIR 9XPENSI3 OF THE APPUCANT, THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO TIRE APPLICANT FOR PAYMENT. <br /> l 6, ORWINAL PUBLIC FILEMCORb3 SHALL NoT$E REMOVED FROM TRB E RD PREMISI3S. <br /> SIGNATURE OF APPLICANT f r DATE <br /> SIGNATURE OF.RELEASING OFFICIAL <br /> DATE <br /> M 00 14 (REV 12192) <br /> EO'd 9h TT9 T ni 1408-4 I•IHnr:Fr- E66T-GT-1.0 <br />