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SAN JOAQUIN COUNTY <br /> PU111ACHEAT."I'll SERVICES <br /> ENVIRONMENTAL IIEALT1I DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> &a APPUCANT4M4�m (o PHONE NO-2e9 - f-/5�'-5200 <br /> ADDRESS Po- Styx Ze) S,�or^407 C,4- 'F5;'40/--?OZO <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADLlRl✓SS LEAD AGENCY DATE <br /> I qZ 144. ( c /..rvi <br /> xo fq A//j (1/0) a <br /> I 'TO 3 J5. !rl- <br /> Z' <br /> 7- 0 (00 g <br /> Z- 1.5-0 A5. IF::AU,A- u <br /> 4- <br /> 2-m 5*0 --4 <br /> 5r,/0 11/14- S'K C6. dud1"t )'Aa-eee-s <br /> 52- 3 . 7-1'jtAo,,, Wat, ZU 50-4-tM. -sum l-At 9L4der <br /> KdAr <br /> 7 ;S 2- <br /> Tills NancE is suniscr TO 11113 REQUIREMENTS IDPN'llPlP-D IN Ills PUBLIC HEALTH <br /> SFRVICES/FNVIRONMF.NTAL 11FALIll DIVISION (F14D) POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUN'T'Y, ET-11D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE ANDI-1113 EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT 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 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A P1.113LICRECORDS RELFASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS 1113QUIRED. DEPOSITS WILL BE Rrl-URNED TO THE APPLICANT IF THE FILFS/RECORDS ARE <br /> NOT AVAILABLE wiTnINI-im, cusToi)y OF THE EIID- <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT Rr-.IIJRNr-,D IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY 'HIE EIID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO 111E APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EI-ID PREMISES. <br /> SIGNATURE OF APPLICANTDATE <br /> Si(;NA'I'URr,,OFRI-ti.F-A,SIN(; OFFI('IAI.- -- <br /> 1:11 00 14 (RI-V 12/92) <br />