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7-27-1995 11 :32AM FT--'1 AGE NC 209 956 0700 R 1 <br /> i <br /> SAN JOAQTM COUNrH <br /> PUBUC HEALTH SERVICES I !� <br /> ENVIRONMENTAL BEALTH DIVISION ? 5,c 2 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> Q144te, <br /> APPLICANT a A ScS A C2r�s a tav Ie.a.s PHONE NO <br /> ADDRESSr-,%APO l <br /> AGENCY NAME i-t — PFxONE NO <br /> ADDRESS LA3 PoR 2 rt SfwcL O S<b L31� <br /> 6 <br /> I <br /> I�� AI�DRRC4 I FAD AGENCY DATE <br /> o lwfs 42 /l'! - {}fit_ <br /> d <br /> 7(p4-7 !1 L 1 3SaJa �r <br /> 7( 7G — <br /> �j 1 Ir 423 µ L/ <br /> a9 Sb V:.,- <br /> THIS NOTICE IS SUBIECf TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> OOVERNMENT.CODS AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. ~ <br /> j 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)168.0340. OFFICE HOURS FOR APPOINTMENTS ARB SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS,8:00 A.M. TO 12.OD NOON AND LOG P.M.TO 4:30 <br /> P.M. <br /> 3, A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS RIIQUIRHD. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE E yyITHIN THE CUSTODY OF THE EHD- <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUB AND PAYABLE PRA 0R TO REVIEWING THE <br /> DOCUME"S). <br /> S. PUBLIC FILEVRSCORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE END STAFF AT THE MCPENSB OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPIJCANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 7-Z7_Q C <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14(REV 17192) <br />�i hee'po <br />