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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> PUUBLIC RECy�ORDS jRELEASE APPLICATION <br /> APPLICANT�/ ✓rt Lnwo //Cv� �{tI/SC�tci��Cc PHONE NO Sy$�-SlLdd <br /> ADDRESS ' Z-t) Sr,;�r,tkj., C.¢ 9SLo/-3r1Zo <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> TILE ADllRrSS `11 ! LEAD AAGENCY/ / DATE <br /> Z Z 3 0 lea •n S!-fYl 7" 0)/ 5 �✓ Yd /�'A.O <br /> O 0 ppp/G n.0 -A <br /> 7f. SS <br /> Z 3 L. �n S SDi•L/ Gwr� <br /> //9l/ Ti lI!« <br /> e C'O. <br /> �C4n,s+.{0 <br /> 6! 55 <br /> Kno5ev,4 Vl�rEr' - Plos{/cs <br /> THIS NOTICE IS SUBJECT TO 111E RPQUIREMPN-1.3 IDEN'llrfED IN 'I'IIE PUBLIC HEALTH <br /> SFRVICFS/FNVIRONMFNTAL HFA 1:111 DIVISION (FHD) POLICY#9211()7, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. EIID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OFTEN (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 PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL, HE RLTIJRNED TO TILE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE MID. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> ('IIARGE. 111E BALANCE OF 111E CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> A 5. PUBLIC FILES/RECORDS Nar RFIURNFD IN 111E SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TILE EIID STAFF AT THE EXPENSE OF TILE 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 END PREMISES. <br /> SIGNATURE OF APPLICANT (,)� -' t< c-✓ DATE =,�/'/ r/ <br /> S1GNA'IURFOFREL.FASINGOFFICIAL DATE <br /> FII 00 14 (REV 12/92) <br />