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�d Ile � �r 0 ne <br /> OFU13LIC <br /> >� 99- 18 '� 471,E 77 <br /> ENVIROMI ).p �lrnorroti <br /> RECORDS RELEASE AYYLICA-Imiv -PIS •C0.I� <br /> APPLICANT' EIj2a nil r) PHONE NO raQ�) x/67-1 ,ra <br /> ADDRESS <br /> AGENCY NAMEt/ PHONE NO <br /> � <br /> ADDRESS p-5/f 5P7`� //,"i 5/I,JI L(�I� iLJ a l'4 9Sa d T, <br /> ME ADD2F LF- D AGFNCY DAA <br /> 7f 6 �9a S. z 5t, - u s-r -t — No <br /> e� S0 r each n LOST` <br /> r o z usT- <br /> wlup— <br /> DO <br /> c N o f1 d� <br /> 0 ,E• r IglnnT cho isl Lost- <br /> T3-US NOTICE IS SUBJECT TO T34E REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTALHEAL-nI DIVISION (EHD)POLICY 992-007, ORDINANCE CODE OF SAN <br /> JOAQUJN COUNTY, F14D FEES AND SER'.7CE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENTCODE AND AS EVIDENCE CODE. Fax <br /> 1. A MAXIMUM OF TEN (1 D) PREMISE ADDRESSES PER REQUEST. IUKC ll �7� <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)458-,0340. OFFICE HCURS FOR APPOINTMENTS ARE SCHEDULED <br /> 'MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.AI. 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 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE WITHIN T14E CUSTODY OF THE EHD. <br /> 4_ THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PWOR TO REVIEWING THE <br /> DOCUMENT(S)- <br /> 5. PUBLIC FILESIRECCRDS 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 FILESAIECORDS SHALL NOT BE REMOVED FROM THE EHD PMUSES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFI WAL OATH <br /> EH 00 14 (REV 12/92) <br />