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-- -------------- <br /> B-11-1995 A:53PM �. A NC 209 <br /> yd P. 1 <br /> SAN JOAQUIN COUN'rY f y J 3 <br /> PUBLIC HEALTH SERVICES /;( n <br /> ENVIRONMENTAL HEALTH DIVLSION 1! <br /> PUBLIC RECORDS RELEASE APPLICAT10ri <br /> AUn <br /> APPLICANT rtblV ~T d 1 PRONE 1 <br /> ADDRPSS 01 NMFAIT <br /> AGENCY NAME_�=A�',- PHONE N ° WSER� LTH <br /> ADDRESS <br /> FILE ADDRESS LEAD AGPNCX DATH <br /> (2� a rt <br /> s <br /> 6m k K <br /> TIIIS NOTICE IS SULUEQf TO T71E REQUIREMENTS IDENTIFIED IN THE PUHIIC HEAL.TH <br /> SERVICM- ENVIRONMENTAI.IICAL_111DIVISION (8111))POIJCV #92[107,ORDINANCECODROF SAN <br /> )OAQUIN COUNTY, OLD FEES AND SERVICE CHARGE RFSOLIT1110NS, STATE WATER CODE, <br /> GOVERNMENT CODE AND TILE EVIDENCE CODE <br /> 1. A MAXIMUM OF TUN (10) PREMISE ADDRESSES PL•R REQUEST. <br /> 2. PUMJC MIL-VRECORUS RGVIRW ARE BY AI'PO N'I'ML•NT ONI.Y. APPOINTMENTS ARE <br /> ARRANORD BY CALLJNO (269).1684)340. OFFICE HOURS POR APPO)NTMENTS ARF_ SCIIRDU1.13D <br /> MONDAY TIIRU FRIDAY EXCLUDING UOUDAYS, 8:LX1 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A P(JIIUC RECORDS RELEASE APPUCA'11ON ANDA NON•RC•IIINDCIIIf DLPOSI3'OF $73.00 <br /> IS RIiQU1RILD. DLl'OSPIS Will. He RL•"IURNED -1'0 '111E APPUCANT IF 171E FII.JS/RL:CORDS AILS <br /> NOT AVAIIABI.E WfITLIN 71113 CUSTODY OF THE MID. <br /> 4. 'I4iE AI)OVE IDENTIFIED DEPOSIT IS APPIJO) TOWARDS THE 1'(YPAl. I1LE REVIEW PEE <br /> CIIARGE_ 17IE BALANCIi OP 711E CHARGES ARE DUE AND PAYABLE PRIOR '1'O REV11iWL4G'LILE <br /> DOCUME"S). <br /> 5. PUBI JC FII.ESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECI'Lall BY 110 DID STAFF AT TILE EXPENSE OF WE APPLICANT. THIS ADDP110NAL <br /> SERVICE WILL BE BI1.11:D TO T1IE APPIJCAN('FOR PAYMENT. <br /> 6, ORIGINAL PUBLIC FILUVRECORDS SIIAL.L NOT BE REMOVL•1) I7LOM TILE OLD PREMISES. <br /> SIGNATURE OP APPLICANT DATE —/ <br /> SIGNATURE OF RM.EISING OFFICIAL DATE <br /> Ell 00 14 (RBV 12!92) <br /> a ' <br />