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SAN JOAQUIN COUNTY <br /> PUBLIC iIF,ALTII SERVICES <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> PUBLIC RECORDS /RELEASE APPLICATION <br /> APPLICANT /1[vn %/rI/�G�rci�r/r¢ PHONE NOS- S4�41-5lzdd <br /> om.n. <br /> ADDRESS �a. S ox .-� -�G[c—_-tm -- - <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> TILE ADIJRI SS LEAD AGENCY DATE <br /> Z Z �t), I v <br /> jt1� G- �- 1-I f <br /> is N. sfr .� S 4�b�h� darks <br /> Z cr� � Cmc..., a✓i i/ So /�c..� — <br /> Sf o <br /> z 1(3 Lf Alf <br /> >` St c�Ll' li4,Y Ti % Co. <br /> oQRed <br /> 17Z7- E-r- /Or4 Sf S (4� -O* N 5""4 nen <br /> l/0 Yi% C'occ - Co(o Cow <br /> N5 gapsevcl <br /> TFIIS NOTICE IS SUBJECT TO THE REQUIRBM13NT9 11311KIIPIED IN 911E PUBLIC HEALTII <br /> SERVICFS/ENVIRONMENTAL HFA[Ali DI VISION (EHD) POLICY #92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. END FFES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC 1711.115/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGFD 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 PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL. BF. RI TURNED TO TIIF APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN TIIE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDFNTIFIED DEPOSIT IS APPLIFD TOWARDS THE TOTAL FILE REVIEW FEF <br /> ('IIARGF. 771E BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> (\ 5. PUBLIC FILES/RECORDS NOT RETURNED IN 17IF SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EIID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SI(',NA'IIJRF OF RELEASING OFFICIA1. DATE <br /> F11 00 14 (REV 12/92) — -- -- '-- <br />