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SAN JOAQUIN COUNTV <br />.PUBLIC HEALTH SERVICES <br />F;NVMONMENTAL HFALTII DIVISION <br />PUBLIC RF.,CORDS IIF,LEASE APPLICATION <br />APPLICANT _ IJ �R�ovS PIIONI3 NO <br />ADDRESS_Zy 01 S�a� Q ; to L4 L <br />AGF -NC Y NAMI3 K'PQ�4u A-nl SNC uff�Il C �iJC PH(7Nfl N( <br />ADDRNSS <br />FILE AD_ R -M <br />LP L) ACEN-QX <br />/o/ bo2 - S/o0 <br />DATE <br />_3019 NAVY <br />D2 <br />LOIS N/�vv <br />DEL <br />Trn� O,� corpEa.�� <br />3?Q 3 NAS <br />NIE7 t-t6uo <br />-Zl!tI NMy <br />DQ <br />ST S J1cj-G <br />,. <br />W¢ <br />+f it Csn u <br />t/ via <br />arr- 1t.�r. <br />�I /it'1%GS � � a <br />a. <br />v - u Tu/..ice / R¢.v/u,✓ e....., �G LaJ �/6 <br />�uciis �� <br />/ nC/✓ <br />OL Irk S • rQ S. <br />Wt <br />/•/e{ /„ 1-Gyi.t�.✓ �io-CL <br />iteo•'I�S. <br />T71I3 NOTICE IS SIJBI6CT TO TFIR RFOIJIRSMP..N7:5 101INTMPO IN TIIE PUBLIC HEALTII <br />SF_R MCPS/RN VIRONM ENTA I, HEALTH DIVISION (EH D) POLICY &92-007, OR DINA NCF. CODE OF SAN <br />JOAQUIN COUNTY, Silt) FEES AND SERVICE CIIARG6 RESOLUTIONS, STATE. WATER CODE. <br />OOVERNMP_NT CODE AND 1146 EVIDENCE CODE. <br />A MAXIMUM OF TPN (10) PREMISE.. ADDRESSES PER REQU;-: T <br />2. PUBLIC FILES/RECURDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br />ARRANGED BY CALLING (209)468-0340. OPTICS HOURS FOR APPOINTMENTS ARE SCHEDULED <br />MONDAY TNRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AN93 1:00 P.M. TO 4:30 <br />P. M. <br />3. A PUBLIC RECORDS RP_LPASE APPIACA11ON AND A NON-REFUNDABLE DPPOSIT OF 578.00 <br />IS REQUIRED. DEPOSITS WILL Be RETURNED TO TTIE APPLICANT IF THE FILES/RFCORI]S ARE <br />NOT AVAILABLE WITHIN THE CUSTODY OF THE END. <br />4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE RFVIFW FEE <br />CITARGE. THE RALANCP OP 114E CHAROPS ARE DUE AND PAYARLF PRIOR TO REVIEWINO THE <br />DOCUMENT(S). <br />S. PUBLIC FILES/RP.CORDS NOTRETURNPD IN THE SAME CONDITION AS RECEIVED WILL,BE <br />CORRECTED BY TIIE EHt) STAFF AT 114E EXPENSE OF THE APPLICANT. THIS AOOITTONAL <br />SERVICP WILL BP, BILLED TO 1116 APPLICANT FOR PAYMENT. <br />6. ORIGINAL. PUBLIC PILPS/RECORDS SHALL NOT EE REMOVED FROM THF EHU PREMISES. <br />SIGNATURE OF APPLICANTv� i DATE <br />SIGNATIJRP OP Rf;LEASINU OFFICIAL <br />FII 00 14 (REV (2/92) <br />f <br />TO'd=099L890TST 01 <br />DATP, <br />LIQdd HtI63 : T T 'e. F, T-60---0 <br />