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11--15-1993 05:30PM FROM TO 19169283341 P.02 <br /> SAN 34AQULN COUNTY . <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVLSION - <br /> MBLIC RECORDS RELEASE API?LICATION <br /> A PPLICAN'I' ;5a �1c-,v A Ssnr.,,-k s PHONE N(7_. <br /> ADDRESS 111.3 NorU ls I . Sac n CA 9 <br /> AGENCY NAME — PHONE 140 <br /> ADDRESS <br /> EILE AIDD—R -�alacrr7 SAD AGENCY DATE <br /> PAYMENT <br /> u1.5 4 V 4i <br /> i 5 05 UIN 00i INTY <br /> a gi5303 PUBLIC HEALTH SERVICES <br /> E117MONVEN I AL HEACrRVMIum <br /> THIS NOTICE IS SUBTECi' TG THE REQUT1tEM13NTS IDS IN TIB PUBIC HEALT14 <br /> SERVICES/BNVIRONMENTAL HEALTH DMSION(Ejm.)PoucY X992-007,MWINANCB CODE OF SAN <br /> JOAQUIN COUNTY, fiHD FEES AND SERVICE CHARGE RESOLLMONS, STATE WATER C€7DE, <br /> (30VMNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST'. <br /> 2. PUBLIC FILESIRECORDS REVIEW ARE BY APP_OflMd NT-ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CAWNG (209)468-0340. OFFICE HOURS FOR APPOINTMEM ARE SCHEDULED <br /> MONDAY THMU 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 PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUND A$LE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FTLI MECORDS ARE <br /> NOT AVAMABLE WITWN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE 'DOTAL FILE REVIEW FEE <br /> CHARGE. THE BAL¢NCE OF THE CHARGES ARE DUE AND PAYABLE WOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE ERD STAFF AT TNF EXPENSE OF THS APPUCAN'T. MS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC: MES/RF-CORDS SHALL NOT BE REMOVED FROM THE BHB PREMISES. <br /> SIGNATURE OF APPLICANT - DATE // 1 <br /> SIGNATURE OF RELEASING OFFICIAL, DATE <br /> EH 00 14 (REV 12192) : <br />