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3AN JOAQUIN COUNTY ILUV--,,o 4 12-4W <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONA ENTAL HEALTH DIVISION ttu- t : 197 <br /> / PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT S rV\,, PHONE NO 2a4?� y 7 6- f b35 <br /> ADDRESS R"S �..1• L- She 1 2 , SC-A 9 rzo? <br /> AGENCY NAME PHONE NO <br /> s;{2 ADDRESS n 1( •-Y•4- Rd <br /> 1roc ,, CA <br /> SC LEAD &CLUC C RATE <br /> FTT R A?IDRA� <br /> � r <br /> THIS NOTICH 18 SUBTECT TO THE REQUIP131AMM mBN•TIPIED IN 'IAB PUBLIC HSAI'T" <br /> VICMFNVTRONMENTAL HEALTH ON(ERID)pOLICy M-007,ORDINANCE CODE <br /> FSAN <br /> JOOAAQUIN COUNTY, D FEES AND SERVICE O <br /> CE CHARGE RMOLUMNSS, ATH WATER CODS, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF IW4(10)PREMISE ADDRESSES PER REQUEST- <br /> 2- PUBLIC FILESIRHCORDS REVIEW ARE BY APP Y- APPOINTMENTS ARE <br /> ARRANGED BY CALLING (�p9}16B�L740. 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. CO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RE FAva ApPLTCAIION AND A NON- FAL DEPOSIT OF 578-00 <br /> L9 RHQUIRED. DEPOSITS wE L BE RETURNED TO THE APPLICANT IF THE PIL RVRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE RHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 18 APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE Op THE CHARGES ARE DUE AND PAYABLE ERI II$TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC F1I>33/RHCORII3 NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL.BE <br /> CORRECMD BY THE FAD STAFF AT THE HXFENSB OF THE APPLICANT. THIS ADDMONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILIBAtECORDS SHALL NOT BE REMOVED FROM THE E HD PREMISES_ <br /> SIGNATURE Of APP7.ICAN'P - GATE C� IST__ <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> SH 00 14 (REV 17197) <br />