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12-28-1935 2:55PM FRWI: NC 209 956 W00 • P. I <br /> SAN JOAQ(IIN COUNTY / <br /> PUBLIC HEALTH SERVICES ( ul t <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> A�vAfvab Inc / \ q lr a to�1 <br /> APPLICANT T 011 Had, _PHONE NO � pl / <br /> ADDRESS a C d Pr 5 7 A <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FTI# ADDRESS T,EAD AGENCY DATE <br /> X315 rJ. E st t 1c�o+1 PH5 -Qr1D <br /> 2320 N c 1 Q ao SAe l-il <br /> --I-- <br /> 16 Ls Phcgjt A,,-n— � <br /> I L(G W FdRRP Nc Wv R —!Fq <br /> �j1WENW1111 <br /> Ef, <br /> t! 1 w N6gQi�!. <br /> ti M��`�FiIT/RM SERVICE <br /> v—A <br /> 14�# 8 u. Flo <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRON MENTAL HEALTH DIVISION(EHD) POLICY #'421107. OROINANCECODE OF SAN <br /> IOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOV ERNMENT CODE AND TH13 EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC: FILES/RECORDS REYIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468.0330. OFFICE HOURS POR APPOINT-MENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS,8:00 A.I. 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 BE RETURNED TO THE APPLICANT IF THE FILFS/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDGNMFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLER) IOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5, PUBLIC MLE.SIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT_ <br /> 6. ORIGINAL PUBLIC FILESJRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES- <br /> SIGNATURE OF APPLICANT DATE !! 255 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12!92) <br />