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B-11-1995 4:53PM <br />APPLICANT <br />AGENCY <br />ADDRESS <br />-_Ro AGE NC 209 956 0700 -- _• P. 1 <br />2bv-� 45' ((a <br />Vl, l <br />SAN JOAQUIN COUNTY71�� <br />11tly <br />PUBLIC IIEALTII SERVICES lll;��� <br />ENVIItpNMEmm IIEALTII DIVISION O <br />PUBLIC RECORDS RELEASE APPLICATIOIaIur <br />IF �-i 4l <br />I <br />1 / <br />� ua:_3la�a► <br />344 <br />T711S NOTICE IS S1IBJEL'T TO TILE REQUIREMENTS IDENnFIEI) IN '1.11H PUBIIC HEALTH <br />SNRVICILVENVIRONA4ENTAI.IIHAl011 DIVISION (EDU) POIICY Y92407, OR DINANCR CODE OF SAN <br />JOAQUIN COUNTY, L ILD FEES AND SERVICE CILARGE RESOLLTIIONS, STAT -E WATER CODE, <br />GOVERNMENT CODE AND 171H EVIDENCE CODE , <br />1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES 12ER REQUEST. <br />2. PUBLJC MIL-VRECORUS REVIEW ARE HY APPO IN'L'M PNT ONLY, APPol TMENTS ARE <br />ARRANGED BY CALLING (209)468413-10. OFFICE HOURS FOR APPOINTTICNTS ARE SCIIEOU1.1313 <br />MONDAY TIIRV FRIDAY MCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P,M. TO 4:30 <br />P. M. <br />3. A PI1BIlC RECORDS RELL•ASE API'IICA'RON ANDA NON,.It EFUNOClllf: DEPOSIT OF $78.00 <br />IS REQUIRW. DE7'OSI'fS WILL Be RL•11JRNED TO '11111 APPLICANT 11''ITIE FUlsmr-CORDS ARE <br />NOT AVAILABLE WfIILIN TIIH CUSTODY OF THE HLID. <br />4. 'INE ABOVE iDENTIFI[-1) DEPOSIT IS APPLl1D TOWARDS TILE 9'O'PAI. 11L£ REVIEW PE£ <br />CILARGE. '171113 BALANCE OP 711E CHARGES ARE DUE AND PAYABLE PRIOR TO REVIIiWLNG'IILH <br />DOCUMENTYS). <br />5. PUBI lC FlIX- /RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY TIE Mil) STAFF AT TILE EXPENSE OF TIIE APPI.ICANT. THIS ADDITIONAL <br />SERVICE WALL BE BILA.ED TO THE APPLICANT FOR PAYMENT. <br />6. ORIGINAL PUBLIC FILISlRECORDS SHALL NOT' Be REMOVE) MOM'IlIE WID PRFIMISES_ <br />SIGNATURHOFAPPLICANT 6(�1�z "e= DATE <br />SIGNATURE OP RELEASING OFFICIAL DATE <br />PAI OO 14 (REV 12/92) <br />f <br />