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rc! "xi101 <br /> SAN JOAQUIN COUNTY <br /> `--' PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCAN'T NO <br /> ADDRESS <br /> AGENCY PHONE NO <br /> ADDRESS J.r1 l() M r-i-1 Yl SA, Es c.okj c y-1 4 <br /> PILE ADDRESS LXA,D AGENCY p�T� <br /> rt 06.50 C. rremmg-t Sf• �?14 -1,D �v-14-93 <br /> �2/ Sc E rj'nrnorct S <br /> 110 Fr i L�zt' <br /> s�rllCo � �►?i ��PY <br /> (fir r• � EV <br /> OCT 2RECE 6 1. <br /> CO NTY <br /> PUBLIC HEALTH S VI <br /> EAS <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENT'S IDBNILJ'IfiD IN Tm PUBLIC REALTH <br /> SERVICBSIENVIRONMENTALHEALTH DIVISION(EHD)POLICY X142-007,ORDINANCE CODE OF SAN <br /> r JOAQUIN' COUNTY, EAD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE BVMENCE CODE. <br /> I. A MAXIMUM OF TEN (10)PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APP0INIMFNT 014LY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (A"9-0340. 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 430 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPIICA?ION AND A NON-RgFUNDABLE DEPOSIT O <br /> IS REQUIRED. DEPOSITS WILL BE RLE <br /> ]RETURNED TO THE APPLICANT IF THE FIS/RECORDS P <br /> NOT AVAILABLE WTIHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT is APPL.ISD TowARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF TAE CHARGES ARE DUE AND PAYABLE Eno TO REVIEWING TKE <br /> DOCUMENT(S).' 78/k,--, . m-�'- �� � h,ur. <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. f <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> Q. <br /> \v SIGNATURE OF APPLICANT DATE In_& <br /> SIGNATURE OP RELEASING OFFICIAL DATE <br /> EU 00 14 (REV 12/92) <br /> s <br /> Fold 605E8E8L 0! wn>4 1 WH?b.gp 7r-r-T-)T-Pq, <br />