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,.. <br /> `„r PAYMENT <br /> SAN JOAQUIN COUNTY RECEIVED <br /> . : PMLIC HEALTH SERVICES APR 16 1993 <br /> ENMONMT.NTAL111ALTH DIVISION SAN JOAQUIN COUNTY <br /> Ptmuc RECORDS �.LRASR APPLICATION PUBLIC HEALTH SERVICES <br /> VIRONMENTAL HEALTH DIVISION <br /> APMCANT D c6oRA N'` WoR.ur o, PHONE NO 510- 6 7/-,2 38- <br /> AMMS ar ouND w4-r- --rESYlNot 0c-/ !90 S7 Pat-r x#4162 h6 y. eQ-A aW gys';° <br /> A(3ffiVVCY NAME PHONE, <br /> ADDRESS r , <br /> I ADDRESS LEAD AGENCY DATE <br /> 43 tiSC S D o IA(vooD,S'�rr.cgy-d fy ac O*el/•t/ <br /> _ . 5�ob y___s-S. EL �Date poJlkA,yA/.t �Rd e^.e,c.�• _ ' <br /> l.werl&w 41c> <br /> Sf3D'3____.S.'; f'IeKiN�Ey...AV6./G9�AV6vls-c6�c��v?' C'o, CyF STAR. 4.rtor <br /> S .- ,�u �. /Jf10l..aEtT SSG .C'�KP- <br /> ��Sre ck 7v 4.y -y <br /> S.. E� AO•• ttE Si'1ci 1�A�E � <br /> 4 ' o o rLtlAt6Fi� //�aw+SR LIFT <br /> THIS NOTICE is StWBC`t--T0, THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SEKVICBS/$NVIRONM$N"Y'At HEALTH DIVISION(EHD)P01ICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQM COUNTY; MM FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FLLBS/RLCORDS REVIEW ARE BY APPOIN IAENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CA21IN(3'(209)468-0340.- OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIbAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> 3.... >A PUBLIC RECORDS RM.AASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUnW. DEPOSt't'S.WILL BE RMVRN9D TO THE APPLICANT IF THE FII.ES/RECORDS ARE <br /> NOT AVAILABLE WnM. CUSTODY OF THE BHD. . <br /> 4.-- THB''ABOV$ M#Ntff4M DEPOSIT IS'APPlJ%D TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGX THE BALANCE OF THE CHARGES An DUB AND PAYABLE TO RBVIBWM(O THE <br /> S. -r`.PUBLIC FILBS/RECORDS NOT RBT)ptNEb IN THE SAME CONDITION AS RECEIVED WILL BB <br /> CORRECM BY THE ='STAPP AT TIM WU"48E bF THE APPLICANT. THIS ADDI'ITONAL <br /> SERVIC9 WILT.BE B==TO"THE APPLICANT FOR PAYMENT. <br /> 6. ORTMAL P=C PILEMCORDS SHALT.NOT BB REMOVED FROM THE EHD PREMISES. <br /> • SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RMJRASLNCO OFFICIAL DATE <br /> 13II 00 14 (REV 12/92) <br />