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I ° SOEAQUIN <br /> S - 151P� C1IF-ALIlER 99 <br /> RN VI iON.M1i ENTAL HEALTH DIMS <br /> ---FI PUBLIC RECORDS RELEASE APPLIC ..... . <br /> APPLICANT ��U2LL{') 41. I l(�dr}( YPHONB NO ��7G�� 5�6�-JGblo <br /> ADDRESS <br /> AGENCY NAME Ug PIIONE NO <br /> ADDRESS 11,005 f! tA 1 i sSrAlY���1zll o5 <br /> EfLB�DDRE55 LE D AGE'N'CY _ DAA I <br /> lYlanr` <br /> US r1�.n C Q IZC� c ?S()UA - of 7l�P 1P <br /> rizn <br /> rEton) e <br /> — g <br /> — 1 <br /> / Qi r1 <br /> 71-US NOTICE IS SUBJECT TO THF I(FQUIRF_M£NTS )OF--MFIED IN THE ?VBLIC HEALTH <br /> SERVICESM4VTRONMENTAL HEALTH DIVISION(F 4D)POLICY 4-92-W7,ORDINANCE,Coop.OF SAN <br /> JOAQUIN COUNTY, E14D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, I <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAt7MUM OF TEV (10) PREMIISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FIMIRECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209):58-03+0. OFFICE HOURS FOR APPOINTMENTS ARF. SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOIJDAYS, B:OB A.M. TO 12:00 NOON AND 1:00 P_M.TO 4:50 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE A.PPLICA-nON ANDA NONREFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED_ DEPOSITS WILL BE RIF URNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE W711{IN 111E CUSTODY OF THE FHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 1S APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REV1E'NING THE <br /> DOCUME,NT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED 4lILLBE i <br /> CORRECFED BY THE FHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERYICE WILL BE BIIJ-PD TO THE APPLICANT FOR PAYMENT. ' <br /> 6. ORIGINAL PUBLIC F1LESIRECORDS SHALL NOT BE REMOVED FROM MEMIDPREMIISLS. <br /> SIGNATURE OF APPLICANT �/" DATE <br /> 51GNATURE OF RPtFA51NG OFF/ JAL pATr <br /> tai 00 24 (REV 12192) .._.. -- <br />