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I IJAN FUG--Po LIEN FtnSEVIELE <br /> _ TU 19157167830 P.1.,1-;12 <br /> SAN JOAQUW COUNT i�1e �I vrc�j - <br /> _�~- PUBLIC El ALTH SERVICES <br /> ENTMONhENTAL IMALIH j)XMON .I_ <br /> PUBLIC RECORDS RELEASE APPUC4,170N : <br /> AGjiAMUCANT Fu wf.s l C.. PgoNgl'`r o s} <br /> - al� 6 <br /> ENCY NAA ° �`!le Com_ <br /> ADDRESS PH©NE NO <br /> FILE AD7]RASS LEAn AGENCY _ <br /> DATE � <br /> © to Spa 1Vow�c.�. <br /> R.Ay Thwl �� ���-- n'�! d ,g �y <br /> Tms NOTICE TS SUFUECr TO THE Rr.QumEbflDM IDS iN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTALHFALTH DIVISdON MFID)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EAD FRBS AND SERVICE CHARGE RESOLUTIONS, sI'ATE WATER CObB� <br /> covIItNMEN>`CODE AND THE EVIDENCE CODE. <br /> 1. A MAXMIUM OF TEN(10)PRE 47SE ADDRESSES PSR REQUEST`_ <br /> 2. PUBLIC FILES/RECORDS REVIEW An BY APPUiff ONI_ . AMINTMEZM ARE <br /> ARRANGED BY CALI IriG C2U9}46g U340- 0MCS "OtMS POOR ARE SCFLEDULED <br /> tO1VDAY THRL7 FRTDAY HXCLUMr'HOIIDAYS, 8.00 AM. TO 12_04 NOON AND 1:00 P.NL TO 4.30 <br /> - A PUBLIC RECORDS RELEASE APPLIC,A 71ON ANDA N2Nl9ft2M6=DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSM WILL IIE REtURNBI)TD THE APFUC,ANT IP 'UM FUSSfRECORDS ARE <br /> NOT AV'AI'LABLE WI7HXN THfl CUSTODY OP THE ERD_ <br /> C <br /> 4. THE ABOVE a)B' FIED DEPOSIT IS APPLTED TOWARDS THE TOTAL FIDE ItrVIEW FEE <br /> CHARGE. 111M BALAUCE OF THE CHARGES ARE DUE AND 3 <br /> PAYA7II.E YBLL�TO RHVIEW]pCiTHEDOOCUMENT(S), <br /> s- PUB11C FILESMUCORPS Z40T RRI[aMM)IN THE SAUM CONDMON AS RECEIVED WIu 13u. <br /> CORRECTED BY THE EHD STAFF AT THE }DISE OF TM APMCANI: TFIS ADDMONAL <br /> SERVICE W ML BE BMLED TQ TIM ApPUCANI`FOR PAYMENT. i <br /> 6- CW<RNAx.PUBLIC f%LESIRECORDS SHALL NC/T$E 7i8MUVM PROM T'HE FiiD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> 5IGTIATVRE OPREI-EASING OFFICIAL DATE $ <br /> 1=H 00 11 fXIEV 12J92) <br /> TCITPL P.02 <br />(z��s <br />