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i <br /> SAN JOAQUIN COUNTY <br /> JAN 12 1993 <br /> PUBLIC HEALTH SE ACES <br /> ENVIRONMENTAL HEALTH �brYENVIRONMENTAL <br /> ENVIRONMENTAL HEALTHPUBLIC RECORDS RELEASE APPLICA'TTON- <br /> PERMIT/SERVICES .1 l <br /> APPLICANT ,6melm-eA ct -PHONE. NcCq d L18 07Y-0 <br /> ADDRESS � esn q 9-2v{® <br /> AGENCY NAIVES kler j-7 PHONE NO <br /> ADDRESS I <br /> A(- /,v 5Ti76 e7}D.d <br /> Eng ADDMS LEAD AGENCY PATE <br /> 0 B L 61-7n IS. <br /> ® nria 0 t0ro 'or .0 oP <br /> 0o 5.• ora o <br /> P/05n.,f oa <br /> &'41,4e, 1Y7a gas <br /> '21d raze lye st rGl;� Ar- <br /> �hr's fac/l�i. j <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS ID$NTIFIED':IN THE PUB11C HEALTH <br /> SERVICE3S/H14VIRONME?NTAI.HEALTH DIVISION(EHb)POLICY A�92-007„ORDINANCE cope of SAN <br /> JOAQUIN COUNTY, MID PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (I0) PREMISE ADDRESSES PER REQUEST. <br /> a� <br /> 2. PUBLIC FILM/RECORDS REVIEW ARE BY a=vjrjjMENT ON APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE 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 RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF TH13 fILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE Ellb. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED 'TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE.PRIOR TO REVIE3WING THE <br /> DOCUMENT(S). ; <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTE36::16Y THE END STAFF AT THE EXPENSE OF TUR APPUCANT. THIS ADDlllONAL <br /> SERVCCB WILL 138 BILLED TO TLIE APPLICANT FO#t PAYME N:T. <br /> 6. ORIGINAL PUB11C NLES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPUCAN C C DA''� <br /> r1t SIGNATURE OO F RELEASING OFFICIAL DA'Z'E <br /> EH OO:14 (REV 12/92) <br /> F<I <br />