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'�37-08-1993 01 FROM TO 19163641966 P.02 <br />MBLIC HEALTH SERVICES <br />FNVIRONINWNTAL HEALTH I)IVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPIUCANT Aw '664 F& (,"W S41L; :7JliQNI3 No ��/�� ��6y - r -,7j-1 <br />ADDRESS / C) 1%) -S Zj7- <br />£i`11 /° Kw Y Stiff /-- Kxvssk j4lylCA �J CA q i -j'L 7 <br />AGENCY NAME PHONE NO <br />ADDRESS <br />�; f <br />,L9'- E E/�C(yS��11 1`x/75 <br />LEAD AGENCY DATE <br />THIS h101703 IS SU"JPCT TO 7'HI3 REQUIRRMENT'S IDP_tMtIPD IN THE PUBLIC HEALTH <br />SERVICHWENViRONMENTAL 11RALTH DIVISION (F -MD) POLICY #92-007, ORDTNANCir CODE OF SAN <br />JOAQUIN COUNTY, RHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT COUP AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF TEN (10) PREMISE At)DPPSSPS PF -P REQUEST. <br />2. PUBIJC RiLES/RECORDS RLViEW ARE BY AUQINTMENT ONLY. APPOINTMENTS ARE <br />ARRANGED BY CALLiNG (209)468-0340. OFFICE "OURS 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 />3. A PUBLIC R)✓CORDS RELtXSE APPLICATION AND A NONAP-EQNDABLE DEPOSiT OF X78.00 <br />IS REQUiRED. DEPOSITS WiT-1. BB RF-T1JRNEtJ TO 111E APPLICANT 1F T1113 FiL1;SIRECORDS ARE <br />NOT AVAILABLE WITHIN THE CUSTODY OF'INB RHD. <br />1. THE ABOVE iDENTIFIED DEPOSIT IS APPJ_tED TOWARDS 114E TOTAL FII_& PPV119W FI E <br />t'TiARGR. T IR BALANCE OF THE CHAROPS ARE DUE AND PAYABLE MPB TO REVIHWiNO TjiE <br />DOCUMENT(S). <br />5. PUBLIC rtl_i.S/RECORDS NOT RE7URN$t) IN THE SAME CONDITION AS RECEIVED WILLBE <br />CORRECTMD BY THE END STAFF AT 1146 EXPENSE of 1119 APPLICANT. 1-111S ADDITIONAL <br />SRRVICS'WiLL BE BILLED To THE APPLICANT FOR PAYMi-NT. , <br />6. ORIGINAL MlBUC MUSIRPCORDS SHALL tool, RE RI:MOVi3D FROM 771E 1:Ill) PREMISES. <br />SIGNATURE OF APPLICANT ' <br />DATE <br />SiGNATURI3 OF RF_t-FASING OFFiCTAL DATF <br />Ftl 00 14 (REV 12/92) -' ` <br />