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5-1 7-1 996 4:58PM FP-4 AGE NC 21dJ 1-4bb 10/160 <br /> 5� SAN JOAQUIN COUNTY J <br /> PUBLIC HEALTIX SERVICES <br /> c ENVMONbIENTAL HEALTH DIVISION <br /> PUBLIC RECORDS REL&jSE APPLICATION <br /> APPLICANT Kevin M c-K i �If+'1 PHONE NO <br /> ADDRESS <br /> AGENCY NAME t'L4vuoc+ HONE NO -026y <br /> ADDRESS 1$03 !fort <br /> EIA-ADDRESS <br /> TEAR AGENCY DATE <br /> � 5-6 !V- alV'rd ct five . fif5 H D <br /> t 7 O S tJ. Broe�wn /�vc . <br /> � 70 O N- Broed wa flvt . <br /> 3832 <br /> ?IA4 wtis<r GC <br /> Shaw <br /> t30p Shaw <br /> tyy� SL,av R . <br /> H3 t 5 E uttiT•rtoo <br /> Zz�S' C +n•rol�et <br /> 3535 CGJeroKeC <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVMONMENTALHEALTH DIVISION(IIID)POLICY,#92-007,ORDINANCE CODE OF SAN <br /> JOAQUN COUNTY, EI-ID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODS AND THE EVIDENCE CODE. <br /> I_ A MA70MUNI OF TEN(10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (2(?9)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 6:00 A.IvL TO I2 OO 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$78,00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EBD. <br /> 4, THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DMUMENT(S). <br /> 5. PUBLIC FnzsMECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAPP AT THE EXPENSE OF THE APPIICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILESIRRCORDS SHALL.NOT BE REMOVED FROM THE EHD PItILIvISES. <br /> SIGNATURE OF APPLICANT SGL( DATE I flat <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 17192) <br />