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4 ! PAYMENT <br /> 'SAN JOAQUIN COUITrY RECEIVED <br /> PUBLIC BE ALM SERVICES F F B 14 1994 <br /> ElNvlR0N1 [EtNTAL tI1ttALTR�I�)M9j0 AN JOAQUIN COUNTY� HEALTH SERV)rESPUBLIC RECORDS RELEASI; APLICMENTAL HEALTH DIVISION <br /> APPLICANT b143 TA\ lA1:j!W 1..— PIONS NO ct 1(0- 772c(-- <br /> ADDRESS , D, 14-- <br /> AGENCY NAMII Lp �-LlLZotsMRST71 SI✓ I PIIQNU NO <br /> F <br /> f <br /> LEAD AGENCY 12 <br /> 313A0- <br /> 3 2 S3v b v„C[5•�Vim- C-T S'[11-h3 ,�, E- 4 <br /> :ILL <br /> y <br /> THIS NOTICE IS SUBJECT TO THE REQWREMENTS IDENIIFiFD IN TTIE PUBLIC HI AL'I1I <br /> SERVICES/ENVIRONMENTAL 1IEALTII DIVISION(F-Ht))POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EFID FEES AND SERVICE CIIARGE RE50LU11ONS, STATE WA'ITR CODE, <br /> GOVERNMENT CODE AND T141E EVIDENCE CODE. l <br /> I. A MAXIMUM or TEN (I0) PREWSE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESIRECORDS REVIEW ARF, BY APEQJN.I TENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE IIOURS FOR APPbINTMENTS AIDE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.N1. T.Q I2:(Q NOON AND 1:00 P.M. TO 4:30 <br /> 3. A PUBLIC RECORDS Rt-LEASE APPLICATION AND A N0-_ N-RE Utx NbAB_LE DEPOSIT OF$78.00.,• <br /> IS REQUIRED. DEPOSITS WILL 13E RM- RNED TO THE AI PLACANT IF THE FILES/RECORDS ARE <br /> NOT AVAILAIILIx WITIIIN,TIIB CUSTODY OF TIIB EHI). <br /> f� <br /> 4. TILE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TO'T'AL FILE REVIEW FEE <br /> F CHARGE. 111H BALANCE OF TIIE CHARGES ARE DUE AND PAYABLE FPJ TO REVIEWING `MIs � <br /> I]OCUMB"s). <br /> �r ,I <br /> S. PUBLIC RL IRECORDS NOT RETURNED IN 7717 SAME CONDITION AS RECEIVED WILL$E <br /> CORRECTED BY THE E14D STAFF AT THE EXPENSE OF 111,E APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO TILE APPUCANT FOR PAYMENT. r <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE Rl 4,40-'ED FROM THE IIID PREMISES. <br /> { <br /> SIGNATURE OF APPLICANT • -, DATE 2-9L ___ <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12192) <br />