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t <br /> SAN JOAQVIN COUNTY [? <br /> MMLIC MALtH StRVICFS <br /> ENMONMEN.CAL IMALTH I)tVIS.N <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ApPIfCANT MATT VVD �[� MONI3 NO <br /> ADDRMS <br /> AGENCY NAME PN R E R -N V I. R[9 N M E� -PHONH NO °! - 1 51 a; <br /> ADDRESS C-T I Tt-S 6 PU2 7115fj <br /> ME <br /> RE Y STB <br /> 2 2 o LLY D id I VE- H <br /> E Xc <br /> T aRNOTLINE — 1 <br /> gg LINE- <br /> Z-75 <br /> INE <br /> Z G NE LD <br /> S !-0 Pi <br /> a <br /> s <br /> M <br /> A� <br /> ENVIRO r�lsERAL. <br /> 'PHIS NOTICI3 IS SUB18Cfi TO THIS REgtUWA 4" MENTIFIED IN THE PUBLIC HEALTH <br /> SERVICE9/t3NVIRONMENT'AL IUTALT14 DIVISION(EM)POLICY x-001,ORDINANCE CODE OF SAN' <br /> 70AQUIN COUN'T'Y, MW FM AND SE Wcg CHARGE RESOLUTIONS, STATE WATER CODE, <br /> (30VERNMENT CODE ANIS THE BVIDBNC$CODE. <br /> 1. A MAXIMUM OTS T13N (10) PREMISE AbDRESSES PER REQUEST. <br /> 2. hMLIC VAM/ItECORDS REVIEW AU BY AI+I+OINnSiN'tOkILY. APPOINTMENTS ARE <br /> ARRMaIM BY CAUVO (200)468-0340. Of"CI3 HOt7RS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THAV FRIDAY$XCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. <br /> 3. A PtJBLIC RECORDS RELI3AS9 APPLICATION AND A NON-REF[1NDABLE DEPOSIT OF$78.00 <br /> IS REQUMED. DEPOSITS WIt L 13B RETURNED TO TIM APPLICANT IF THE F11"IRECORDS ARE � <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE ERI). <br /> 4. THE ABOVE IDEN'TLV= DEPOSIT IS APPLIED TOWARDS THE TOTAL PILE REVIEW FEB <br /> CHARGE. THE BALANM OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO RBVLSWING THE <br /> DOcUMER T(S). <br /> S. PUBLIC FILI35/RECORUS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE , <br /> CORRBC 1M BY THE SM STAEV AT TIM WtNSR OF THB APPLICANT. THIS ADDITIONAL <br /> SBRVICB WILL BE BILLI3L!To'IM APPLICANT VOR PAYMENT. <br /> S. ORIGINAL PUBLIC IrILMAWCORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> 42 gm <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH OO 14 (REV 12192) <br /> ..__...._... . <br />