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PAYMENT <br /> 'SAN JOAQUIN COUNFY RECEIVED <br /> PUBLIC HEAL'T'H SERVICES F E B 14 1994 <br /> ENVIRONMENTAL HEALTH DMSIONSAN JOAQUIN COUNTY <br /> PUBLIC RECORDS RELEASE API'LIC C HEALTH SERVICES <br /> ENTAL HEALTH DIVISION <br /> APPLICANT VA " PHONE NO ct Ito- -7 �3 5S( <br /> ADDRESS �! D. rcx)X I loo 3LO , 5f�t-12/ki'11F,-M ark- `1Ts(E�14– <br /> AGENCY NAMI3b/s n_ 1�; PHONE NO a Ito—j�fj <br /> ADDMS <br /> EEL ADDRHSS LPAD AGENCY <br /> 3 i 3 A) A2-T- (��L 5, tJ _ 14 �— <br /> �32 <br /> 3(A's r✓. _ CSN 1L C G L_ cb, STU) l__O P ► ` <br /> CAP <br /> I z�- -E. �x. s>103 tN , <br /> THIS NO'na IS SUBJECT TO THE REQUIR.EMWI'S IDENTIFIED IN TILE PUBLIC FIVAL'i•II <br /> SERVICES/ENVIRONDIENTALIIEALTII DIVISION (F-HD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUN'T'Y, MID FEES AND SERVICE CIIARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESIRECORDS REVIEW. ARE BY APPOIN'T'MENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND I:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78.00., <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPUCANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE WITIIIN TILE CUSTODY OF TILE EHI). <br /> 4. TILE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. 'IIIB BALANCE OF TILE CHARGES ARE DUE AND PAYABLE PWOR TO REVIEWING 11113- <br /> DOCUMENT(S). <br /> IIEDOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN TME SAME CONDITION AS RECEIVED WILL$fi <br /> COMCIT--D BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. 'THIS ADDITIONAL <br /> SERVICE WILL BE BILLED 'TO TIlI: APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE MID PREMISES. <br /> SIGNATURE OF APPLICANT Zc c DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Iii 00 14 (REV 12/92) <br />