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SAN JoAQuw couNTY <br /> PUBLIC HEALTH S VIC <br /> MONMENTAL HEAL 19�76ATION N <br /> LIC ItECO S LEASE <br /> APP11CANT PHONla NO -7o <br /> D S - <br /> AGENCY n� v.1u, PH NO <br /> ADD S cis o�.,l, � v <br /> d <br /> HU D S IXAD AUENCY DATB <br /> PAYMENT <br /> C 'VF;d <br /> --MAY _ <br /> SAN 0AQ <br /> PUBLIC HEALTH SERVICES <br /> THIS NOTICE IS SUBJECT TO THE REQU M13NTS IDENTIPIED IN THE PUBLIC HEALTH <br /> S VICRS/ENVIRONMENTALH13ALTH DIVISION(RHD)POLICY -007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MID PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM O (10) PR13MISS ADDR13SS13S PER RHqUEST. <br /> 2. PUBLIC PILES/RECORDS REVIEW ARE BY AP 91MEM ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OPPIC13 HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRu FRIDAY EXCLUDING HOLIDAYS, 9:00 A.M. To 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> J. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> TS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EMD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEB <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE M TO REVIEWING THE <br /> DOCUMENT(S). ft <br /> S. PUBLIC FILRS/RECORbS NOT RETURNED IN THE SAME CONDITION AS RRCMVED WILL BE <br /> CO D BY TNR RHD STAPP AT THR RXP13NSR Ola THR APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL Bg RILL130 TO THE APPLICANT ICOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BB REMOVED FROM THE LHD PREMISES. <br /> SIGNATURE OF APPLICANT DATES 3 <br /> e <br /> SIGNATURE OF RELEASING OFFICIAL DA'Z'E <br /> EH 00 14 (REV 12/92) <br />