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rRV1. MVG Iv{_ GVJ JJV V/VV <br /> • ,�, � Q r <br /> •�--�: D V�V` n�� 95-107 <br /> SAN JOAQUIN COUNTY Lt" -3 y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL H$AL1$ DIVISION <br /> PUBLIC RECORDS R>iLFASF APPLICATION 5 �' <br /> APPLICANT UJ- I-,1'44-(E PHONI? NO 95Z•- ��y <br /> ADDRESS a G, , <br /> AGHNCY NAME 7 c PHONE NO -d - �y <br /> ADDRESS v-, (, <br /> EU TI A 12RpcS LEAD AGENCY <br /> 'ADS Aw CYst� Pits/��, o � as�7s <br /> I NJ o ., 4� <br /> t ri s . <br /> NLT <br /> MAY <br /> --Dg MI <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN TIIE PUBLIC HEALTH <br /> SERVICESIENVERONMENTAL HEALTH DIVISION(EHD)POLICY#92.007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE- <br /> 1. A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT QNLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (2(19)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 PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF S78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FIL.ESIRGCORDS ARE <br /> NOT AVAILABLE WITHIN 741E CUSTODY OF THE EM. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THS TOTAL FILE REVIEW FEE <br /> CHARGE THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. MMUC PILES/RECORDS NOT RET7,rRNfiD IN TIIE SAME CONDITION AS RFCPIV13D WILL,BE <br /> CORRECTED BY THE RHD STAFF AT THE EXPENSE OF THE APPLCANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILFSIRECORD9 SHALL NOT LIE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT -- DATE E XLS - <br /> SIGNATURE OF RELEASING OFFICIAL. DATE <br /> FIM 00 14 (REV 12142) ----�-- - <br />