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i SAN JOA.QUIN COUNTY f ' <br /> PUBLIC HEALTH SERVICES' <br /> ENVIRONMENTAL MALTR,D <br /> IVISIUN <br /> PUBLIC RECO ! <br /> RDS RELEASE APPLICATioN <br /> �k ! <br /> APPLICANT .,,, L-%—V <br /> ��s- . !' <br /> ADDRESS PHONB NG - �- _3 c'y <br /> AGENCY NAME iLcSN4 <br /> htJLra•�?c'\'CS �� 3j <br /> ADDRESS NE NO <br /> �4 + <br /> If <br /> It <br /> I. L�"7S <br /> �^ C DAT <br /> 12Lt F1L r \,G <br /> f r111C hor,��a R-A c V �- <br /> tall <br /> r <br /> re„ � <br /> S Vj5PJAY <br /> NTr <br /> EjOEIVE <br /> _TL HIS }1i# „ R <br /> SE <br /> N JQAQWIN-e9l y <br /> PUBLIC HEALTH SERVICES <br /> THIS No7TCS Is SUH71iCT TUTHE REQUIREMENTS ID&NTII'IED IN 7N6 PUBLIC HEALTH <br /> SIU� <br /> r SBRViCBS/ENVIRONMBNTALi#EALTH DIVISION(EFiD)COUNTY, fiHD PEES AND SEPOLiC <br /> JOAQIY��A92-007. ORDINANCE C©DE OF SAN <br /> L7Pt RVICE CHARGE Rl=sbLU17ON5, STATE WATER CODE. r <br /> GOVERNMENT CODE,AND THE EVIDENCE CODE. <br /> 1 A MAXIMUM OF IMN (10) PREMISE ADDRPSSES PER REQUEST. <br /> 2. <br /> A PUBLIC FILES/RECORDS REVIEW I' <br /> ARRANGED BY CALLING ARE BY APPOINTMENTS ARE <br /> N (209UDIN341 OFT7Cg HOURS FOR APPOINTMRNTs ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS. 3:00 A.M. TO ?12:00 NOON AND 1:OQ <br /> P.M. P.M. TO 4:30 <br /> 3• A PUBLIC RECORDS fi <br /> IS REQUIRED. DEPOSITS wIREi.EASB APPLICATION AND ON-R ND } <br /> RETURNED TO THE APPLICANT IF THE FILES/RECORDS E <br /> NOT AVAILABLE WILL THE CUSTODY of THB END. 7' i <br /> a 4-THE ABOVE IDENTIFIED DEPOSIT IS App <br /> CHARGE- LIED To <br /> TNL� BALANCE of THH CHARGES ARDS THE TOTAL PILE RfiviEw FEE - <br /> DOCUMBNT(S). ARE DUE AND PAYAIBL>t TO REVIEWING T14E <br /> S. PUR.1C FILES/RECORDS NOT ! <br /> RETURNED IN THE SAME GOND .f <br /> SERVICE <br /> WI BY THE BUD STAFF AT THE RXPENSE OF THE APPI.iCANT.S THISIADD�IONAL <br /> SERVICE a'ILL BE BILLED TO TTIE APPLICANT FOR PAYMENT. !j <br /> 6. ORIGINAL PUBLIC FiLESIRliCORDS SHALL NOT BE ,,, <br /> RWOVFD FROM THE $HD PREMISES• r <br /> SIGNATURE OF APPLICANT ! <br /> DATE 3c U 3 <br /> SIGNATURE OF RELEASING OFMCIAL <br /> EH OO 14 (REV 12/92) DATE <br /> -----------1 <br /> :�.v1 <br />