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SAN JOAQUIN COUNTY <br /> JAN 12 1993 PUBLIC UXALTH SUVICHS <br /> ENMONMENTAL HKALTH DWISION <br /> g,� ALTH PUBLIC RECORDS 111RASR APPLICATION <br /> s�wCEs <br /> APPtW-4 r PHON13 0 '/A G— 07Y'0 <br /> ADDRESS p^,07 <br /> ABUNCY NAIL erg PHONE NO <br /> ADDRESS <br /> A&- i t s��rraxl . <br /> Eui ADDRESS # LEAD AGENCY j2AT8 <br /> ® n Ingn <br /> r iC o P <br /> Woo S. ora <br /> oa .X .0 oP <br /> os &4 1<044f <br /> z 07a© i� ci r0 D TSC <br /> r <br /> 'l A 40 Road <br /> aft y , c 5 e,-* /" <br /> X1.1 _ t1 be-T4,LIr_IIAble, r <br /> fht's fac�l'�:fy <br /> TM NOTICM Is SUWWr To THE REQUIREMENTS IDENTIFIED IN THE P'UBUC HEALTH <br /> SIR OVE iMONMBNTAL HEALTH DIVISION(ORD)POLICY 0092-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, SID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODS, <br /> G0V8RNMW4T CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN(10)PROMISE ADDRESSES PER RBQUWr. <br /> 2. PUBLIC PILIMIROCORDS REVIEW ARE BY AZtgiMWr ONLY. APPOINTMENTS ARE <br /> ARRAN©ED BY CALLING (209N69-0M. OFFICE HOURS POR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS,5:00 A.M.TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APFUCA71ON ANDA NON4REPUNDAK.2 DEPOSIT OF$72.00 <br /> 13 REQUIRED. DEPOSITS WKI, BE RETURNED TO THE APPUCANT IF TNM ML&VRBCORDS ARE <br /> NOT AVAILABLE WrrmN THE CUSTODY of THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 13 APPLIED TOWARDS THE TOTAL FILE REVIEW FRE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE Z=TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC PRBWRIICORDS NOT REllMNBD IN THE SAME CONDITION AS RECEIVED WILL SB <br /> CORRBG'i'ED by THS HHD STAN AT TO Hx N38 OF THH APPICANT. THIS AMMoNAL <br /> 31MViCE WILL gE BILLED TO TIM APPLICANT Pc t PAYMENT. <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT BB REMOVED FROM THE RHD PROMISES. <br /> SIGNATURE OF APMCANUD s <br /> or53SIGNATURM OF RELEASINGOFFICIAL DATE <br /> Ell 00 14(REV 121") <br />