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10/06/98 TLT 16:04d ttK 2094671118 AI,L-SIOA-&in J <br /> 41 y SAIN JOAQUIN COUNTY <br /> 'k 1 PUBLIC HEALTH SERVICES 9y <br /> EN-VIRON-A TTAL HEALTH DIVISION <br /> PUBLIC RECORD RELEASE APPLICATION <br /> u Z a n e e� Asa <br /> APPIlCANT_ UCAiron PHONE NO <br /> ADDR.F-SS , LIJ n Uk <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LRk D AGF-CY DATE <br /> -s'IT <br /> 5000 5 . fit d-r <br /> �LLJ Z 0'r moll <br /> 343c1_'a- - tr <br /> 50 at t A <br /> 0 <br /> 3LI300 <br /> _tel <br /> T:-IIS NOTICE IS SUBIECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESlENVIRONMENTA.L HEALTH D1vlSlON(EHD) POLICY ;'92-007, ORDTNANCE CODE OF SAWN <br /> JOAQUTN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVEt LAMENT CODE AND THE EVIDENCE CODE. <br /> ]. A MAXI1FSij.%t OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESIPECORDS REV`E'F- 1 ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (-.09)463-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> SICaINDAY THRU FRIDAY E(CLUDING HOLIDAYS, 8:00 A-M.TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.14. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78.00 <br /> IS REQUIRED. DEPOSITS 7,ILL BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE WITHIN TIHE CUSTODY OF THE EHD. <br /> 4. TIHE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS T:-(E TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE C4ARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PU3LIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED MILL BE <br /> CORRECTED BY THE EHD STAFF AT THE DCPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 0 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 I4 (REV 12/92) <br />