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-07-08-1993 01:38PM FROM _ TO 19162641966 P.02 <br /> 1. PUBLIC HEALTH SERVICES � <br /> FNVIRONINI.ENTAL nEALT11 DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPWCANT• T�C LAW �CI,C� /� Cert 5��-►� ,7I�oNa NO �>/� ��y-d'J.� <br /> ADOR.PSS /1217o SXjT.Ei"1S SafC/a 9 `.-Z 7 <br /> AGENCY NAME F"ONE NO <br /> ADDRESS <br /> FILE_ADDRESS .BAD AGENCY DATE <br /> LS'::!'C CNC(r>.V1_I f i`JS <br /> TIIis NOTICE i3 SU[IJECT TO THP. RIrOUIREMVNTS IDENTIFIED IN 11113 PUDLTC HEALTiI <br /> SERVICES/ENViRONMENTALICRALTH DIVISION(1'HD)POLICY 0792-007, ORDtNANCF?CODE OF SAN <br /> JOAQUIN COUNTY, BHD FEES AND SERVICE CIIARGI3 RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODES. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDPLESSRS PER REQU[3ST. _ <br /> 2. PUBLIC FILES/RECORDS RF-VTI3W ARE BY &UOINTMENT P Y. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. Ot=FiCE 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 /> 3. A PUBLIC R.i-CORDS RELE)1SL APPLICATION ANDA NUN-RTiElINDABLB DEPOSIT OF$78.00 <br /> IS REQUiRED. DEPOSITS WitAI 113 RETURNED TO 11113 APPLICANT IF T1I13 FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE T3HD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT iS APPJJP-t) TOWARDS 11RE TOTAL FILT; RI?v1EW FEE <br /> ("TiARGE. TNI? BALANCE OI'THE CIIARc3p.S ARE DUE AND PAYABLE UU PB TO REViEWINO THE <br /> DOCUMENT(S). <br /> 5. M113UC FII_R.S/RECORDS NOT RETURNED iN THE SAM133 CONDITION AS RECEIVED WiLL BE <br /> coRRECTED BY THE END STAFF AT THE i;XPENSE of 11113 APPLICANT. THIS ADDITIONAL <br /> SERVICE WiLL BE BILLED TO T14B APPLICANT FOR PAYMENT. <br /> 6. ORi INAL MJBUC F[LtS: /RPCORUs SHALL NOT PE REMOVED FROM T[IE E[IU PREM[SES. <br /> SIGNATURE OF APPLICANT - DATE <br /> SIGNATURF_OF RELEASING OFFICIAL DATE <br /> Ptl 00 14 (REV 12/92) <br /> \\ `, <br />