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I 1419-1993 E3:14MI FRCN1 to 15105211547 P.02 <br /> y <br /> SAN JOAQUIN COUNTY : <br /> PUItI,IC HEALTH SFRVICLq <br /> 1KNVI.RONM NT'AL HEALTH DIVISION <br /> PUBLIC RECORDS <br /> RELEASE APPIACATION <br /> APPS ICANT ?C?_Zf- <br /> 116e,17/f � PHONE <br /> ADDRBSS__ff <br /> T. <br /> AGENCY NAME _ PHONE NO <br /> ADDRESS <br /> I~II.S AD 29- M LEAD AGENCY UATB <br /> --- �� T <br /> X1"3 <br /> •� SAra-117A UIN COUNTY <br /> 0 - URI Ic 6Avlcrs <br /> ENVIRONMENTAI WrAi iw piV���f�rl <br /> ��4 b�4 t�THI� IVOTICB IS SUBJECT To THE REQUIREMENTS ID*MFIEb 114 THU PUBUC HEALTH <br /> + 98RVi ILWENVMONMENTAL HEALTH DIVISION(RHID)POLICY N92-W7,OVI)NANCB CODB OF SAN <br /> JOAQUIN COUNTY, WID FEB9 AND SF3RVICE C1TAR0313 RB90LUTi0N5, SPA-M WATT CODE, <br /> MVIUMMENT CODE AND TRB EVID13CE WDS <br /> 1. MA MU OF TBN(I0) PkaZA%RrSES/PHR REQ EST. <br /> 2. PUBLIC PlIAL/I(BC''ORDS REVIEW ARr3 BY APPOINT'AM ONLY. APPOIN'I'MBNTS A" <br /> ARRANOBI) BY CALUN(3 (209)468-0340. OFFICE JIMA$ FOR APPOEN7MEMs ARE BCHBDUIM <br /> MONDAY TTIRU FRIDAY EXCLUDING HOLIDAYS,8:00 A.M. TO 12:00 NOON AND 1:00)?.M, TO 4:30 <br /> P.M. - - - <br /> 3. A PUBLIC RECORDS RELEASE APPIJCATION AND A (3QN-Bgj&%DpEpOSrr OF$78.00 <br /> 15 REQUIRED. DEPOSM WILL HE RETURNED TO 11113 APPLICANT IF THIS FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE MID. <br /> 4. THE ABOVE XDMMFI13D DF-POSIT IS APPtJI;D TOWARDS TTI19 TOTAL FILE REVIEW FEE <br /> MARCE. TILE BALANCE OF TTIE CHARUES ARE D1119 AND PAYABLE MOR TO RMEWINO M113 <br /> DOCUMENT(S). <br /> S• PUBIIC MLEVRECORDS N(YT gFilURNED IN T11E SAME CONDITION AS RECEIVED WILL BE <br /> <� M- MCTM BY THE IBRD STAFF AT THE EXPENSE; OF THE APPUPANT. THIS ADDMONAL <br /> SERVICE WILL,BE BILLED TO TIIF APPIJCANTFOR PAYMENT. <br /> 6. ORIGINAL PUBLIC P11-0/RECORDS SHALL NOT 13B REMOVED PROM U113 MID pREMISES. <br /> SIGNATURE OF APPLICANT ( ✓ uy (,r bATB <br /> SIGNATURE OF RELEASING OF RC'IAL DATE <br /> EH 00 14(REV 12/92) <br /> e <br /> TOTAL P.02 y <br /> r k0) 9 '93 15:15 PAGE 002 s <br />