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SAN JOAQUIN COUNTY ' <br /> PUBLIC IIEALTII SERVICES <br /> ENVIRONMENTAL HE,ALTII DIVISION <br /> PUBLIC RECORDS oRE'LEASE APPLICATION <br /> �J <br /> APPLICANT �r✓G11 nx4e4 C/o/lrtv»N/�+lL('beaus4e PIIONE NO 2e9- yyY-S(Leo <br /> ADDRESS_-?,o•gby Le) S{oe4lon CJ> 95 LJ1-3u �o <br /> AGENCY NAME PIIONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 3o / S. /1 ufnrA S>< 73ac /,'07`�J Sicd CL) <br /> Q. ..r: 4f �' •• A <br /> ?(3 5 I:. m u .Ave. D c J/lJ WIG c?• <br /> I H r P. 4 , rN � <br /> Sao N. Um Lin S . Y'A/ T.arn„.4 GTMW60. <br /> 4Zo e . A. C4, <br /> 5 (o N. ✓ oro C[nt✓w'oh nJf+�iJn <br /> - /O-73 /E+. 5cad {�J5 �M1G C�4�1'F4 Fe Rg,/V 4.4, <br /> e / <br /> 13S . >GOThr �Vi l�f 4 I,0 Gav,'tl , <br /> 635' S Ayrork 5k. L D <br /> TIIIS NOTICE IS SIJB)ECI TO TIIF REQUIREMEN'T'S IDPN'IIPIED IN 'INE PUBLIC HEALTII <br /> SFRVICFS/ENVIRONMENTAL HEALTH DIVISION (FHD) POLICY #92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. EIID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE F_VIDFNCF CODE. <br /> 1. A MAXIMUM OF TEN (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 PIJRLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS RFQUIRFD. DEPOSITS WILL BE RETURNED TO TITS APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILARLF WITHIN THE CUs"TODY OF THE EIID. <br /> 4. THE AROVF IDFNTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CIIARGF. TI1F BALANCE OF THF CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FIIJ?S/RECORDS NOT RETURNED IN T Hr SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TIIE EIID STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> [� SFRVICF 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( ) A T 'ce DATE <br /> SIGNA"TURF(1F RFI.EASIN(i OFFI(:IAI, bAT'F, <br /> Fill 00 14 (RFV 12/92) - - ------- -- -- — <br />