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SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> --"� INYTRONMENTAL AEALTH DIVISION <br /> DUMC RECORDS RFI.FASF APPLICATION <br /> APPUCANr Ol IV WQ I Ker PHONE Na Z69 9bb c2l.4 <br /> ADDRESS W. r h nP , jjna(+0 Y7 <br /> CAC <br /> AGENCY NAMI3F'f30NS NO 209- 956-d <br /> ADDRESS t 803 vii. rrh E <br /> Ki, CA <br /> FILE ADDRESS - LEL&D AGENCY JaAT$ <br /> B I S EI Do raJo SC ;;Yrnh C M P�M n f" <br /> $288 �' E! Dorado 1 �nCH C&V, CJi » ?nen <br /> 3160 S E S torado Se F;,axh Camp, CA <br /> 7940Ash 7t" EI D"do a, -n'CA _ <br /> THIS NOTICE IS SUB3ECT'TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL'qFALTH I)tV]SION(EI-ID)POLICY#92-007. ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FFA AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THB EVIDENCE CODE. <br /> I. A MAXIMUM OF TER(10)PREMISE ADDRESSER PER REQUEST. <br /> 2. PUBLIC FILESIRPCORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING aqW&mv. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY TFIRU 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 APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS MULRED. DEPOSITS WILL IIE RETURNED TO THE APPLICANT IF THE FII ESft ECORDS ARE <br /> NOT AVAILABLE WITIHN THE CUSTODY OF THE EBD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS 771E TOTAL FILE REVIEW FEE <br /> CHARGIL THE BALANCE 0PTHE CHARGES ARE DUE AND PAYABLE PRI $TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. I DMC t•II.ES/RECORDS NOT RMTTRN®IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. TMS ADDITIONAL <br /> SERVICE WU-L HE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FalSJR.ECORDS SHALL NDT BE REMOVED FROM THE MID PRENUSES. <br /> SIGNATURE OF APPLICANT ` DATE _ <br /> SIGNATURE OF RELEASING CFFICIAL DAT2 <br /> FSI 00 14 (REV 17192) <br />