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OJ / 16/ 95 ,� 14 : 9I 415 9706 RARDINGLAWSON SF '' 11003 <br /> SAN JOAQM COUNTY <br /> f'tJ>ILIC HEALTH SEkVLCES U <br /> ENVVMONNSMAL HEALTH DIVISION <br /> + pM AC RECORDS RELEASE APPLICATION <br /> APPLICANT b �r�I �/ PHONE NO - Ll �A <br /> AbDRI355 ONE NO <br /> AMN�CMY. l�NAMS G <br /> ADIIRgS3 P .�. J• • • 1 QI �D n <br /> -ten Cf, j94) 07 <br /> Prtl x� A�nlz�.sc > nI ' i <br /> Ac��cY �T <br /> ,tin fl — % 4 -- - <br /> I l i�x . 41 n r.l'�Lk <br /> q UJ ,ChArklt. Wa u 5 10 <br /> Fotl�{ ti" ri _ <br /> r <br /> THIS NOTICE i9 sURI TO THEmONMENTAtHEALTH REQtDIVISIONMWNTS It3rs"PIED IN THE PUBLIC HEALTH <br /> ORDINANCE CODE OF SAN <br /> JOAAQUIN CON t EHb PEES AND SERVICE CClMan RESOD ITTONS, STATE WATER CODE, <br /> GOVERNMENT CODE ANb THE EVIDENCE tob$. <br /> I . PUBLIC PILIaS/RECORDS REVIEW ARE aft AttggaA,it3NT ONLY. APPOINTMENTS ARE <br /> ARRANGED $Y CALLING (204)468 0340. OFFICE HOURS FOR APPOINTMENI9 ARE SCHEDULED <br /> MONDAY THRU MWAY MCCLUDING HOL2bAYS, $:00 A.M. TO 12:00 NOON AND 1 :00 P.M. TO 4:30 <br /> P. M. <br /> DEPOSIT of $7s .o0 <br /> 2. A PUatic RECORDS RELEASE APPLICATION AND A D]9N-fI�NDAIIL.E <br /> is REQuiRED. bEPoSITS WILL BE RETURN 131) TO THE APPLICANT IF THE gltgg/REcoRDs ARE <br /> 3 : THE ABOVE It)tNllpM DtjpOSIT 18 AppLI NOT AVAILABLE wrtmN THE CUSTODY OF THE EIIb. THETOTAL FILE REVIEW In <br /> CHARGE. THE BALANCE OP THE CHARGES ARE bU$ AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENTI <br /> 4. PUBLIC 14L.ES/ItECORbSNOT RETURNED DIIt <br /> IN THE SAME CONON AS RECEIVED WILL BE <br /> CORRECTED BY THE EHb STAPP AT THE EXPENSE oP THE APPLICANT, THIS ADDITIONAL <br /> SERVICE WILL $E M=lj To THE APPUCANt poll PAYM$NT. <br /> 3 . - ' ORIGINAL PUBLIC 14UISWCORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLIC DATE <br /> SIGNATURE OF RELEASING OFFICIAL DAT13 <br /> EH 00 14 (REV 10/92) <br /> cls <br />