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PAYMENT <br /> 'SAN JOAQUIN COUNFY � RECEIVED <br /> PUBLIC BEALTH SERVICES F E B 14 1994 <br /> rNVIRONMFNtAL lit.ALTH DMSIO AN JOAQUIN COUNTY <br /> PUBLIC RECORDS RELEASE APPLIC� CHEALTH SERVICES <br /> ENTAL HEALTH DIVISION <br /> APPLICANT' V1 PHONE Nq <br /> ADDRESS p. 1"�X S dao ��(� S[' 3? (� .� rk- '1 Imo- - <br /> AGENCY NAMES A�P ` '�s420�IV1�`�T1�„1 5L �I�-�PIit�NS NO q I to�'��— ���, <br /> ADDRMS <br /> E(LE AIaOMM LEAD AGENCY <br /> 11 <br /> fe-4 I S.ti_ <br /> eb4- <br /> 33UD <br /> THIS •NOTICE 1S SUBJECT TO 'IME REQUIREMENTSIDENTIFIED IN 4IEE? PUBLIC HEAL111 <br /> SERVICES/ENVIRONMENTAL HEALUI DIVISION (EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MID FEES AND SERVICE CHARGE RESOLU"I-IONS, STATE WA'I-ER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. -A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RSCORDS REVIEW ARE BY &kPOINTMEJNT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340.- OFFICEi 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 PUI3UC RECORDS Rt-LEASE APPLICATION AND A NON-REFUNbABLE DEPOSIT OF$78.00., <br /> IS REQUIRED. DEPOSITS WILL BE RETURNEb TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITIIIN TIIB CUSTODY OF TIIE END. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. TETE BALANCE OF TII13 CHARGES ARE DUE AND PAYABLE ITAOEt-TO REVIEWING TIIE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECO"S NOT RETURNED IN Tl-IE SAME CONDITION AS RECEIVED WILL Bfi <br /> CORP-tC'IED BY THE MID STAFF AT THE EXPENSE OF Ills APPLICANT, `MIS ADDITIONAL <br /> SERVICE WILL BE PILLED TO 11116 APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE P-11D PRENIUSES. <br /> SIGNATURE OF APPLICANTZc DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12192) <br />