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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENT l ';REALTU,])r�r1 _QIK <br /> PUBLIC RECORDSRE $A� �yl`�CATION <br /> APPLICANT <br /> Dpr T 7�7� Environmental A;up, o�r�,t ,� i� s <br /> �+++�+LC['1R`/ zmoonmenrai Research.Sw and GoL n;a ei"$gm gon Tr e e <br /> ADDRrSS_ <br /> AGENCY NAME i <br /> ADDRESS Shannon Castagno <br /> 7141547.2552 FAX: 7141547.1651 <br /> 101 Civic Center Onve West. Suite 630 Santa Ana. California 92701 <br /> FILE ADDRESS LL�Ap AGMCY DATE <br /> s or <br /> it <br /> I <br /> MA D 9%44393 - <br /> PUBLI HEALYH SERV fiC.gg <br /> THIS NO'nCP- IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVTRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLLMONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APROINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY T14RU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 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 Rm—URNED TO THE APPLICANT IF THE Fn.E.sa SCORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4• THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FII E REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FII.ES/RECORDS NOT RETURNED IN TIME 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. <br /> 6. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE IIID PREMISES. <br /> SICNATURO OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OpRCIAL, <br /> EH 00 14 (REv 12192) DATE <br />