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8-14--19L06 2:02PM f-IILII 3E, IVC: 2169 &brb 01"4 SAN JOAQUIN COUNTY PUBLIC ECEAlolU SERVYCES ENVIRO 'TAL HEALTH DIVISION PUBLIC RECORDS RELEASE EASE APPLICATION .. APPz.1CAN T K p y%.n M K i b h PHC?NE ,ALO ADDRBS S AGENCY NAME Fnvjvonh*K7,Ej PHONL NO ADDRESS 1102 W, tlart 1-n- SLt 5 aC ?d ElE ADDRP A EN Y DATE W_+ w- i grch L-41. - - f'dl- 1� n 1) <3M it Li Li N`- P-#r,ti i in'a Avg . .3-5-- AVe 3s -L-61 d 4z 56 0'9-- N• Pi rA rn -3-57,2-Sl C T cs 5'.i O0 paC:,.,4,. c: A Vt . .3.5.14 ✓k-, a] I sx 2.1 .8 r.00 K,�_ � 7 THJS NOTICE IS SUIUECT TO THE REQUIR.EMEN-M IDENTIFIED IN THE PUBLIC HEALTH SERVICEStENVIRONME-NTAL.HEALTH DIVISION(END)POLICY A'92-007, ORDINANCE CODE OF SAN JOAQUIN COUNTY, EHD FEES' AND SERVICE CHARGE R1:SOLUTIONS. STATE WATER CODE, GOVERNMENT CODE AND THE IzVIDENCE CODE. 1. A MA.)QMUM OF TEN(10) Pllr-ItVSB ADDRESSES PER REQUEST. 2. PUBLIC FIL.ESIRECORI)S REVIEW AJLE 13Y APPOINTMENT ONLY. APPOINTMENTS ARE ARRANGED BY CAL.L3NG (709)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY THRU FRIDAY EXCLUDING HOLDAYS, 8:00 A.M.TO 12:00 NOON AND 1:00 P.M. TO 4:30 P.M. 3. A PUB11C RECORDS RELEASE APPLICATION AND A NON-RLE-FUNDABLS DEPOSITOF$78.00 IS REQLUM. DEPOSITS MLL BE RMURNED TO THE APPLICANT IF THE FILESIRECORDS ARE NOT AVAILABLE Q6qTIUN THE CUSTODY UP THE MID. 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEL, CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE MO TO REVIEWING THE DOCUM ENT>S). 5. PUBLIC FILFSIRFCORDS NOT RE-LMNED 1N THE SAME CONDITION AS RECEMM WILL BE CORRECTED BY THE EHD STAFF A'r.TH[3 FICPENSS OF T13E APPLICANT. THIS ADDMONAL SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT, 6. ORIGINAL,PUBLIC FILI-SIRECORDS SHALL NOT BE REMOVED FROM THE EFID PREMISES. SIGNATURE OF APPLICANT �.t v DATE SIGNAT LT"OF RELEASING OFFICIAL. DATE EH 00 14 (REV 131992)