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B-14-1996 2:02PM I-I-tU*-E <br /> NU 20�-4 ybb b/Nd <br /> SAN JOAQUIN COUNTY 96 _X93 <br /> PUBLIC HEALTH SERVICES <br /> ENVMONN11 gTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Kevin McK; bblh PRONE ,N0 <br /> ADDRESS <br /> AGENCY NAhIE Myaor k G+o Ehyiv_o+1,,ni6t7a( PHONE NO `I SC-O26� <br /> ADDRESS 1,g6jW. tlarcklLn fGc f} 5)ock}ar <br /> p[LR ADDRESS LEAD AGENCY DATH <br /> INLi I .W_ Yiarch Gvl , flp- r H )) <br /> H t ��. F/• Pers'4;I+n� AV <br /> m 4LiLf5- A/- Pp Ayf 3 <br /> c� 'f 5.0 i N- PRr5l,iv� fl✓2 , a'S 3 o Ff K <br /> o4555 N- Pars&;;v It ✓e . 3s <br /> as 5608 IV. PsrAim ✓ 3Sa � C7` <br /> a `f 70 7 a c f l c A✓f . 3S� C, nrn n1 <br /> 3 K OO a c i �c ✓ -37.5-Q ✓i�-i, <br /> IC2I ..BrooK,s; ¢ R _ -' 2 "7 rIlM <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESrENVIRONMENTAL HEALTH DIVISION(EHD) POLICY #92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MA)dMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESIRECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (709)463-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY T14RU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78.00 <br /> IS REQUIRED. DEPOSITS "LL BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 13 APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S)- <br /> 5. <br /> OCUMENT(S).5. PUBLIC FiLFSJRFCORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFP AT I14B EXPENSE OF THE APPLICANT. THIS ADDITIONAL, <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILI;SIRECORDS SHALL.NOT BE REMOVED FROM THE EHD PR.EWSES. <br /> SIGNATURE OF APPLICAN �/Lf I DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 13/92) <br /> a <br />