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SEN' BY:EMCON 43,50CIATES ;10-j4-D41j; 14:39 EMCON SACRAMSVTO 12094640138;# 2/ 2QUIN COUNTYPUALTH StRVICFSENVIRAI. HEALT11 DIVISION a <br /> PUBLIC RECORDS RELEASE APFUCATION <br /> APFIICANT_L 4, pvxsei PhT m NQ 69/6) q-18,3,4" <br /> ADDRESSln3'1Jfy 1e An,rvk erw1. sgcra,n,� n 4_cA 9 PU <br /> om�avs <br /> AGEWY NAME _�ACDAI PHONE NO 1_ <br /> ADDRESS <br /> k ADDRESS LEAD A(F,FNCY I?B <br /> THIS NOTICE 19 SUMIBCT TO THE REQUIREMENTS IDENTOWD IN THE PUBLIC HEALTH <br /> SERVICMENVLRONMBNTALHEALTH DIVISION(MIE1 POLICY N92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MID FEES AND SERVICE CHARGE RB80LUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE <br /> 1. A MAALMUM OF TEN(10)PRBMI3E ADDRESSES PER REQUEST, <br /> 2. PUBLIC FILESIRECORDS REVIEW ARE BY APPOQdTM$NT ONLY. APPOINTMMTM ARE <br /> ARRANGED BY CAIl1NG (209)46S-0340. OFFICE HOURS FOR APPOINTMENTS ARE SC=UL_ED <br /> MONDAY THRU FRIDAY EXCL TIDING HOLIDAYS, 8:00 A.M. TO 22-00 NOON AND 1:00 P,M,TO 4.30 <br /> P.M. <br /> ]. A PUBLIC RECORDS RELEASE APPLICATION AND A FLQ --REFUNDAb r.D6P0.SIT OF STS_o0 <br /> IS REQUIRED. DEPOSIT3 MIL BE RETURNED TO THE APPLICANT IF THE mLESIRECORDS ARE <br /> NOT AVAILABLE V T uN THE CUSTODY OP THE IgID. <br /> 4. TRIS ABOVE IDBNTIFIED DEPOSIT IS APFLIBD TOWARM THE TWAL FILE REVIEW FEE <br /> CHARGE. TIM BALANCE OF THE CHARGES ARE DUI;AND PAYABLE IUQZ TO REVLEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILEWRECORDS NOT RETURNED IN THE SAME CONDITION AN RECEIYSD WILL BE <br /> CORRECM BY TIM EHD STAFF AT THE EXPENSE OF TIM APPLICANT. TZ;IIS ADDITIONAL <br /> SERVTCE WILL BE BILLII))TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL,NOT BE REMOVED FROM THE IIID PRHD+LIS' <br /> SIGNATURE OF APPLICANT - DATE I n jy�4Y <br /> SIGNATURE OA RE.BAMNa OFFICIAL DATE <br /> ER OO 14 (REV 1119 <br /> TnTa v n <br /> IQ <br /> J <br />