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SAN JOAQ0N COUNTY <br /> PUMA(" )IEAL ITT SERVICES <br /> E+NVIRONMEN'I'AL HEALTH DIVISION <br /> PUBLIC RECORDS RF-U EASE APPLICATION <br /> a <br /> APP,IICANT I" -e- ow4 m Ab&!!l PHONE NO Zo — 9 SlZoo <br /> ADDRESS INM P o, SS�v o z <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> r'30 /Ct/�- . cC."s,! <br /> Vo 0 �� ori 3eu <br /> _. .c�-sCif/ <br /> C. flyhArs <br /> Yd'le - 5 . 4, d�&hl- 5R w Ikr. .c. <br /> 4/z . v �� v <br /> 303 <br /> cl LN5. Gy r'�sor [,y�w G1i;1soN wow,_ n(mak /rNd+ ��/ <br /> TMS NOTICE IS SURJEC'r TO '11TH :REQUIREMUNTS .IURN'I1PIP-D IN TIIB PUBLIC HEALTH <br /> SFRV,ICES/ENVIRONMF_NTALIIirA[T71 DIVISION (F-IID) POLICY 1/92-[)17, ORDINANCE CODE OF SAN <br /> JOAOUIN COUNTY. EIID rFES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, i <br /> GOVERNMENT CODE AND Tilly.EVIDENCE CODE. <br /> I. A MAXIMUM Or TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS RFV117W ARE HY 'APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFriCE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU 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 RELFASE APPLICATION AND NON-REFUNDABLE Dr:Posrr OF $78.0() <br /> IS REt 11111FI)- DEPOSITS WILL BF. RFTURNED -1'0 711F APPLICANT IF THE FILES/RECORDS ARE <br /> NoT.'1VAiLAIiLF WrrlliN THE cus-rODY OF THE EFID. <br /> 4. THE ABOVE IDEN-11FIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CIIARGF, Till, BALANCE OF Tim. CFIARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> Pum is rILtS1RrCORDS N(xr°RETURNED IN 114E SAME CONDITION AS RECEIVED WILL BE <br /> COR1i1:CItiD BY 711E E1lD STAFF AT THI-3 EXPENSE OF TIM APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL. BE BILLED TO 7111E APPIJCANT FOR PAYMENT. <br /> 6. I, ORIGINAL PUBLIC FILES/RFECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE Or APPLICANT{ ' r, "� �.�- DATE '341/1 <br /> " "" SI[;NA'Il1Rr[)r RFz1.fiASING 01'riC1A1, <br /> DATE <br /> 1:11 0014 (R FV 12192) --- <br /> , <br /> �T L.' <br />