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rt��fti-'i�`�t7 5:l'1brrr rrc�ii t+ut i•a., cc-,.� .=ruu rte.ex, <br /> SAN JOAQUIN COLM'Y <br /> PUBLIC HEALTH SERVICES u ,— <br /> ENwIROiVNW-NTAL 11EALTH )jMS1'0N <br /> P'UJILIC RECORDS RELEASE "P LICATTON <br /> APPLICANT Wt 111 s J 01ONE NOL--tea <br /> AD)DRPSS <br /> AGENCY NAME PHONE NO t-- <br /> ADDRESS i <br /> FLUB APDR135S LEAD AGENCY DA <br /> -io! A) pyf 5 � toy <br /> 3,5:-Z'7 a L, ie <br /> cs 4 .3S 1 ptirY�'f <br /> m < 3S. rh L sl <br /> � �._��/" '� ,,. X35.�- �M i� -�, •. <br /> ZZM Z— <br /> -35 <br /> 11115 NOTICE IS SUBJECT TO -1116 REQUIREMENTS IDC741'IFIFn ilN THE PUBLIC HEALTH <br /> SF-RVICESIE14VIRONME-NTAL UEAL741 DIVISION(FI1D)POLICY*92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, RID FEES. AND SERVILE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODS AND THIS &V•!1]ENCg CODE. <br /> I A MAXIMUM OF TEN (10) PREMISS ADDRESSES PER RE14U65T. <br /> 2- P11811c 1=I1.ESIRECORDS REVIEW ARE BY 1tPPOINTMENT ONI-Y. APPOIN- MENTS ARE <br /> ARRANGED BY CALLING (709)466-03.30. OFFICE HOURS FOR APPOIN"I'MENTS ARE SCHEDULED <br /> MONDAY TtIRV FIUVAY EXCLUDING HOUDAYS, 8.00 A.M. TO I21:00 NOON AND 1:00 P.M.TO 4:30 <br /> P_M._ <br /> i4 <br /> 3. A PUBLIC 11121-CORDS RELEASE APMJCATION AND A NLU R -MI VA[3I.I?DEPOSIT OF S78.00 <br /> IS REQUIRED. UEPOSI'I'S WILL BE REIIJItNED T'O TIIE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN SIE CUSTODY OF TH$ MID. 1 <br /> it I <br /> 4_ THE ABOVE IDEN71FIED DEPOSIT IS APPLIED TOWARDS THEJOTAI_ FILE REVIEW PER <br /> CHARGE. THE BALANCE Of THE CHARGES ARE DUE AND PAYABLE P_RIO TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC I1LESIRECORDS NOT RETURNED IH THE SAME CONDMON AS RECEIVED WILL BE , <br /> CORRECTEn BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANY`. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO T14E APPLICANT FOR PAYMENT. 14 i <br /> 6. ORIGINAL PUOUC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHa P"MISPS. <br /> SIGNATURE OF APPLICANT ix DATE <br /> SIGNATURE OF RELEASING OFFICIAL E DATS <br /> EH 00 14 (REV 12192) <br />