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S-13-1996 d_5SPM FROM - NG 20:d ebb b i 1 / <br /> l <br /> SAN JOAQUIN COUNTY <br /> �`• PUBLIC BEALTH SERVICES <br /> c ' ENVIRON touAL HEALTH DIVISION <br /> r <br /> �n PUBLIC RECORDS REJ F'ASE APPLICATION <br /> APPLICANT !�a v'i M G K• �► PHONE NO <br /> ADDRESS <br /> AGENCY NAME VOMC- •o Ell v'rVop?An--KjajPHONE NO <br /> ADDRESS 1j;0,3 W tjorch S OG oti <br /> EQLZ ADDRESS LEAD AOP,NCY DATE <br /> 1 ir S6 U- provdwa Avg - gNs- r N <br /> 1 1 O 5' P. $roodww jivt . 35'�-9 AAlu <br /> 1700 N• Broad wet fgv4 . oZ 9 �- <br /> 313z FIA Wti-$t GC <br /> _ <br /> 16-4-s Shaw 3S 30rn <br /> [*300 Shaw F, -Z�o <br /> y K $ Z 14 tv <br /> +�3 t E 14*7'*rlo-Q �Sa SS <br /> Z7.3I C horoKc-f- <br /> TRIS NOTICS IS SUB7ECT TO THB REQUIREMENTS IDENTIFIED IN T14E PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEALTH DIVISION(EHD)POLICY 4192-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE, <br /> ppVHRNMEN'T CODS AND THE EVIDENCE CODE. <br /> 1. A MA3dMUM Ol?TEN(10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY AFPOiNTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALIING (209)468-03.40. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY TI-RU 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-REFUNDDEPOSIT OF$78.00 <br /> 1S REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF TUB FILES/RECORDS ARE <br /> NOT AVAIL B IE Wrn-HN THE CUSTODY OF THE TIMID. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARafiS ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RU URNED IN THE SAME CONDITION AS RECEIVED WILL 1313 <br /> CORRECTED BY THE END STAFF AT THE EXPENSE OF THE APPLICANT. T141S ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/PBCORDS WALL NOT BE REMOVED FROM THE T=HD PREMISES. <br /> SIGNATURE OF APPLICANT W/t.c DATE 1� flat i <br /> SIGNATU"OF RELEASING OFFICIAL, DATE <br /> EH 00 14 (REV 12/92) <br />