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SAN JOAQUIN COUN•I'Y <br /> P[111LiC 1JEA1,171 SEIZVICES <br /> ENVIRONNIEN'l'Al, HEA1;TI1 DIVISION <br /> PUBLIC REECORI)S RELEASE APPLICATION <br /> APPLICANTr`u r M ti �/0 r«,�� �G PHONE NO 2,),?- yg5l- 92-oy <br /> ADDRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD A( ENCY / DATE <br /> 2-z2r y C�•rc /' AfFG <br /> F. ra <br /> 1 4� /1I .n Uc C �,HvH " ter er c <br /> 1 o Z Z-G u y .2 <br /> ls-ao 6. <br /> _I(,. Z/ <br /> c H n'/ sl! —' r <br /> TIIIS NO110E IS SUAJECT '1'O T=lift RrQUIREMENTS IURN'IiriE1) IN TIM PUBLIC FIEALTII <br /> Si-,RVICES/ENVIRONh1F,N-I'AL llilAl 111 DIVISION (PI-ID) POLICY {192-0(17. ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. EFID FEES AND SERVICE CHARGF RESOLUTIONS, STATE WATER CODE, <br /> (70VERNMFNT CODE AND HIF FVIDrNC'F. CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> i <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE 13Y APPOIN'T'MENT ONLY. APPOINTMENTS ARE <br /> ARRANGED 11Y CALLING (209)46R-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY TFIRU FRIDAY EXCLUDING HOLIDAYS, 90) A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.N1. <br /> 3. A PI Illl,l(' RC.('ORDS RIA-FASF• APPLICATION AND A NON-REFUNDABLE DFPOS1T OF S79-M <br /> IS REQUIRED. 1)rPOSITS WILL BE RF-1-1)RNE1) 1'0 TIM APPLICANT 1F T11E FILES/RECORDS ARE <br /> No,r AVAII,ARI.F WITIIIN T1lE CUSTODY OF THE F111). <br /> 4. '1'11F ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL PILE REVIEW FEE <br /> (-11ARGF. TlIF BALANCE OF TILE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUM UNT(S). <br /> 5. PUBLIC= FILES/RECORDS NOT REI'1JRNI?D IN 111E; SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EIID STAFF AT 'l--IE EXPENSE OF 111133 APPLICANT. THIS ADDITIONAL <br /> S FRV[Cr-- WILL BIS BILLED TO Tl-iE APPLICANT FOR PAYNIENT. <br /> C. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM TIIE EHD PREMISES. <br /> a 516NATUREOF APPLICANTS .�=) " . �� ,':c . DATE <br /> SIGNA"IIIRF,(7F RFtI,I:ASIN(; OFFI('IA1. _ -- _ — DA"1'1 --- -- <br /> 1:I1 (l() 14 (R1.V 12/92) <br />