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C -r-.w IJJ'7—J:-I IGf,• : itaJ'I'Y.Lit.vvtJL✓- _ _ ___ I �I _� <br /> q�- 2Z5' . <br /> SAN JOAQUIN COGTITY <br /> PUBLIC WEALTH SERVICESZuKe popeA� <br /> r_ r ENVIRON'ME,NTAL FC.EALTH DTVLSION l/ <br /> PUBLIC RECORDS RELEASE APPLICATION ( z <br /> a <br /> APPLICANT NVGS �KAjotSor� PHONE No ll�i7-4�0� <br /> ADDRESS �p <br /> {4 AGENCY NADA <br /> ADDRESS �•h1�wced CxaEn++�nss+at&( PRONE NO <br /> J <br /> EL ADD FCS <br /> � � LEAD AGENCY DATE <br /> 3909 fd. (,t1�et mane ' ry <br /> I/46 Enfe�Prlsc <br /> _a�. <br /> 3$�7 (ernHa d Aue �S• 2T <br /> '(0 Z-5 Coronad a ,4ue �s. 2 r_ 5S <br /> 755>Y. t <br /> _f I '3 our boH Ct <br /> 14- /--(P- <br /> /1. �ulljon sf <br /> 3a r5-r <br /> T iJS NOTICE 19 SUBJECT TO THE REQU)REMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRON,IEN-I•AL HEALTH D1 VISION (EHD)POLICY.'92.007,ORDINANCE CODF OF SAN <br /> JOAQUIN COUNTY, EIiD FEES AND SERVICE CHARGE RESOLUT70NS, STATE NATER CODE, <br /> GOVERNMENTCODE A:NID THB EVIDENCE CODE. <br /> 1. A MAXI\fU1.f OF TEN (10)PRENIISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY, APPOINTMENTS ARE <br /> ARRANGED By CALLING (03)668-0360. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8.00 A.M. TO 12:00 NOON AND 1:00 P.\f. TO 4:30 <br /> P,M. <br /> 3- A PU13UC RECORDS RELEASE APPUCATON AND A NON•RF_FUNDABLF DEPOSIT OF$78.00 - f' <br /> 1S REQUIRED. DEPOSITS RILL BE R=, PUKED TO THE APPLICANT IF THE oLEstRECORDS ARE <br /> NOT AVAILABLE WIT7.fIN THE CUSTODY OF THE EHD. <br /> 6. TIJF ABOVE IDENf739ED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE RF.VTEN Ff E <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIO TO REVIEWING THE <br /> x; DOCUMENT(S). <br /> S- PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED <br /> MLL t ;•. <br /> CORRECTED By THE END STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDIMoNAL 1" <br /> SERVICE MLL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL-PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FRONT THE EHD PREMISESi <br /> sr <br /> SIGNATURS OP.APPLICANP r DATE <br /> � SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> -ar <br />