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i <br /> SAN JOAQUIN COUNTY <br /> :PLIlllJC IIHAL'TII SERVICES <br /> ENVIRONMENTAL HEALTH MVISION <br /> PUBLIC RECORI)S RELEASE APPLICATION <br /> APPLICANT PHONE NO 2d4� SY �Vld0 <br /> ADDRESS h v-Lo <br /> AGENCY NAME PRONE NO <br /> ADDRPSS <br /> FALL' ADllRLSS LEAD AGENCY DATE <br /> 301 s. for c, .S 3 Cz <br /> q00 s- Atjfora 5t. I (y , <br /> e o/I WIG <br /> 4 r <br /> 4z a <br /> 5Ya N. ✓ o rG,. <br /> 10 E. 5c 6il <br /> b 3 v r o r t <br /> TTIIS NOTICE IS SIJRJECP, T'O '11117, REQUIREMENTS IDP-N'IIPIP-D IN 7'11[3 PUBLIC }IEALTTI <br /> SER VICFS/ENVIRONMRN'rAl-IIEA LTrtI DIVISION (FHD) POLICY {/92-007, ORDTNANCECODE OF SAN <br /> JOAQI SIN COUNTY, EMD FEES AND SERVICE CHARGE RESOLUTIONS, S'rAT-E WATER COUE, <br /> GOVERNMFNT CODE AND TTIE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUES . <br /> 2. PUBLIC FiLF;S/RECORDS REVIFW ARF: BY APPUINTMEN'r UNLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING TIOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. n rl.11lLlc' RP,COftI.)S'REiI_FinsT APPLICATION AND A NON-REFUNDABLE D1:I'OSI•r OF $78.00 <br /> IS REQUIRED. DEPOSITS WILL BF RF?TIJRNED T'O TIIF APPLICANT IF TIIE FILESIRECORDS ARE <br /> NO'r AVAILABLE W1111IN THE CUsT01)Y of T-TIE VIID.' <br /> 4. HE ABOVE IDENTIFIED DEPOSIT IS APPIJF;D TOWARDS THE TOTAL FILE RE:VIE FEF <br /> -T <br /> CFIAR(,F. TIM BALANCE: OF THF3 CHARGES ARE FLUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILTiS/RECORT)S NOT RETU RNfiD IN TI]Ei SAME CONDITION AS RECEIVED WILE,BE <br /> CORRECTED BY TILE ETID STAFF AT THE EXPENSE OF TIM APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL 13E BILLED To TTIF. APPLICANT FOR PAYMENT.- <br /> 6. <br /> AYMENT:6. ORIGINAL PUBLIC r1LEs/RECORDS SHALL NOT BE REMOVED rROM THE EHD PREMISES. <br /> SI(iNA'1URE OF APPLICANT( 7� .cc DATE :+✓/%/� l� <br /> SI(PNA'IURF?OF RF.1.FASING OFFICIAL _-– --- --- —_ - DATE <br /> Ell 00 14 (R F:V 12/y2) <br />