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SAN JOAQUIN COUNTY � <br /> - PUBLIC IIFALTII SERVICES <br /> ENVIRONMENTAL IIEALTIi DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT D1�Y1G is D GS /iV c PEEONS NO 9�5� l3Z6 <br /> ADDRESS Ta <br /> .AGBNCY NAME 9,K 2d 7 <br /> P'NE NO <br /> ADDRESS ON <br /> EMADDRM ME AD ME Y UAB , <br /> re <br /> d r <br /> zo4p, <br /> l NTS l" <br /> T S`": pr11C'?p <br /> ztr ,u � r <br /> EN IT p; E1S LTHPERMSEV <br /> z <br /> "'IS NOTICES IS SUBJECT TO TILE REQUIREMENTS 1DEN'I7r1E D IN TIIE PUE3LIC HEALTH <br /> SFRVICP_S/ENVIRONMI3NTAL HBALTII DIVISION (EHD) POIJCY#92-407, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SPRVIC13 CHARGES RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE 13VIDF-NCE COD$. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER I EQUEST'. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT:ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OrrICE HOURS rOR 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 /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REMNDA13LDEPOSIT OF$79.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO 1-11B APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 1S APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALAVCE OF THE CHARGES ARE DUE AND E'AYABLE rRIoR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN TI1E SAME CONDITION ASEC V <br /> R EI ED WILL BE <br /> CORRECTED BY THE EHD STAFFS AT THE EXPENSH OF 17113 APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILL Ed TO 1"11E APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT _ _ DATES <br /> O , <br /> SIO NATUkI-OF RELEASING OFT 1CIA1, DATE <br /> rtti <br /> Ell 00 14 (REV 12/92) <br />