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10-01-1993 11:09AM FPOf TO 15102951823 P.02 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> EN "IRONN FMA.L HEALTH DIVISION <br /> PUBLIC RECORDS RE •FASE APPLICATION <br /> APPTICANTPHQNE N06 S`IE 50 <br /> ADDRESS I`»"� /c /�., r r N/ l zf --�-O =� r C/4 4`ISY� <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILH ADDR13SS LEAD AGENCY DAIT <br /> �� �'. Inv; - 4►�. L�T•�,ti _ S�,�q 5 �r<a <br /> S S' S l�'� t �S� c� <br /> 6S Lou%aa Q-Q <br /> PAYMENT <br /> I lvf E <br /> NOV 1 61993 <br /> IMS NOTICE IS SUBISCT TO TM RpgU NTS ID � 1 1LTH <br /> SERVICES" <br /> ENVIRONMENTAL DIVISION(FFID)POI]CY Ns2 �, pLtB (3�XN <br /> JOAQUIN COUNTY. E 1D FM ANb SHftvICE CHARGE WA7M CODE. <br /> GOVMLNM13NT CODE AND TtM EVIDENCE CODE. <br /> 1. A MAXUAUM OF TSN(10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESMECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMBNT8 ARB <br /> ARRANGED BY CALLING (209)46g-0340. OFFICE HOURS FOR APPOINTAIFINTS ARE SCIIBWL.ED <br /> MONDAY'T14RU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND ANON-RfiFUNDABL.E DEPOSIT OF&78.00,,. <br /> IS REQUIRED. DEPOSITS WI L SI <br /> BE RTIRNED TO THE APPLICANT IF THE PILSSlRfiCdRD3 AIZB <br /> NOT AVAa ABLE WITHIN THE CUSTODY OF THE EBD. <br /> 4. THE ABOVE IDEN7TFIFM DEPOSIT IS APPLIED TOWARDS THE TOTAL FII$ REVIEW PER <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PR[OR TO REVIEWING TkIE <br /> DOCUM43"S). <br /> S• PUBLIC FII-E-SIRECORDS NOT RETURNED IN THE SAME CONDRION AS RECEIVED WILL BE <br /> CORREcnD $Y THE PID STAFF AT THE EXPENSE OF THE APPLICANT. T99 ADDITIONAL <br /> SERVICE WQI,BE BHI.ED TO THE APPLICANT POR PAYMENT. , <br /> �. ORIGINAL PUBLIC FffX&%ECORDS SHALL NOT BE REMOVfiD FROM TEiE FfD PMflSES. <br /> 1p <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RHLI3ASING OFFICIAL DATE <br /> EH 00 14 (REV 12tM <br /> TOTAL P.02 <br /> a <br />