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SAN JOAQUIN COUNTY U, <br /> PWILI{: II11'AL111 SERVICF„S-.`- <br /> i ENVIRONMENTAL IIEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT ✓Ct -IiirKah 0 [ //r� �����i•t II PHONE NO -- SYS—�Zdd <br /> ADDRESS_ -?y• 9'0), Z�� Sr4a-,FSH C_.�F 4sLy/-3yzo <br /> AGENCY NAME V. PHONE NO <br /> ADDRESS I <br /> FILE AQURCSS LEAD AGENCY DATE <br /> Afele <br /> I S Gri wr'G �:„.t weeks <br /> I <br /> 1-7 ,Z E.T /0,-q <br /> I/Oo f i% C'ac — Col' 4Co,., <br /> -MMS NO"I7CE�IS SUf1JECr TO -17111 RP-QUIREM13N'r3 16PN'IIPIED IN TITS PUBLIC HEALTH <br /> SrRVICFS/ENVIRONMENTAL 14EAl llI DIVISION (13141))POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN"COUNTY. EIID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT COBE AND THE EVIDENCE CODE. � <br /> I. A MAXIMUM OF TEN (I0) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS RFVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY T14RU FRIDAY EXCLUDING HOLIDAYS, 9:00 A.M.`TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 1 <br /> l� <br /> 3. A H311LIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF $78.011 <br /> IS REQUIRED. DEPOSITS WILL BE RI`I)RNED TO TILE APKICANT iF TIIE FILES/RECORDS ARE <br /> No"r AVAILABLE WI171IN 7.11E CUs"rODY OF TIIE E11D. <br /> i� <br /> 4. . THE ABOVE IDENTIFIED DEPOSIT 15 APPLTFD TOA,ARDS THE TOTAL FILE REVIEW FEE <br /> CIIARG.R. '7llt; BALANCE OFTHE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. P[JB1,IC FILES/RECORDS S/RECORDS Ni3'r RF:lURNED IN 714E SA IME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TIIE EIID STAFF AT THE EXPENSE OF TIIE APPLICANT. THIS ADDITIONAL <br /> SERVICE W11,I, BE BILLED TO ITIS APPIJCANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT > ; . t.J DATE <br /> SIGNATURF OF RELEASING OFFICIAL, I DATE <br /> ` r11 Q0 14 (Rry 12/92) - — -- -- I <br />