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PAYMENT <br /> RECEIVED <br /> SAN JOAQUINCOUNAUS 0 2 1993 <br /> 'M' <br /> PUBLIC REALM SERVICES UBLIC SAN JO HEALTH <br /> COUNTY <br /> ENVIRONMRNCAL HEALTH DMSION ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORI)S RELEASE APPLICATION <br /> APPLICANT c L3 R n/Fs PIIONE NO�_ � <br /> ADDRESS 6 Ac o <br /> Co AaE2Nf'Y NAME S' //VI c PHONE NO 7iy_ �� ,`s T� <br /> ADDRESS <br /> PTL$AbDRR ILEEA.1D' AG_A.NOY DA <br /> ZO 2- s - ON ��A/ TO Li DU„y -OLATY 7��0 -/993 <br /> S 00 �L:6� <br /> ,Pizr- y OPGCrY, <br /> TIES NOTICE IS S CT TO THB REQUIREMENTS IDENTIFIED IN TILE PUBLIC HEALTH <br /> SERVICESIENVIRONM TAL HEALTH DIVISION(HHD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE D THE EVIDENCE CODE. <br /> 1. A MAXIMUM F TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES CORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CA NO (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRID Y 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 REC RDS RELEASE APPLICATION AND A NQU�RFU_ ND DEPOSIT OF$78.00�. <br /> IS REQUIRED. DEPOS TS WILL BE REIVIINED TO THE APPUCANJP TIIB FILES/RECORDS ARE <br /> NOT AVAILABLE IN THE CUSTODY OF THE EIID. <br /> 4. THE ABOVE I ENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE B CE OF THE CHARGES ARE DUE AND PAYABLE P1;14H TO REVIEWING TF1E <br /> DOCUMPNT(S). <br /> S. PUBLIC FILES CORDS NOT RETURNED IN T14B SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFP AT THE EXPENSE OP THB APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE Bl TO THE APPLICANT FOR PAYMENT. , <br /> 6. ORIGINAL PU C PILLISIRECORDS SHALL.NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLIANT DATE 7-30 <br /> , <br /> SIONATUREOFRELB SIN FICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> s <br /> 1 ' d 00 :01 C6i10/CO woad <br />