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SAN JOAQUIN COUNTY fir' <br /> PUBLIC HEAL'.# SERVICES( <br /> ENVIRONMENTAL IEALTI D"ION <br /> PUBLIC RECORDS RELEASE ICATION ,f <br /> . h <br /> APPLICANT PHONE NO 2 '3 (f Lf Fr <br /> ADDRESS ?S2_7 ..e s klo S LY.1-t--+ ,PS vi.-1 cm 7 <br /> A(3ffiNiCY NAME `Tw �� t>n L � S-_ .PHONE 7 0 7- <br /> AW)M SS - <br /> FILA ADDRESS LEAD AGENCY DATB <br /> TSP U"i MENT <br /> �l} 5}ycf�i-ovf Stet{ 3003 i-4s��lw�tt E � � <br /> Qwo 1, s6 P-kkt- *oq -7i -1-r1 wEsr ca.Ak MAX 2 "� <br /> 93 <br /> _<t"f� k4L5p+r Jt{-[s�G -7-5 r3 L&PIVS+ Clc.� .,wt �•O_�N <br /> G.1 ES Enf-�v ,rt 7 LI00 lA),fS t L M �L�, u i11 �. <br /> � <br /> �j o r wt V+L Zn L U Z +S rte► „n ts)WL'. - - <br /> THIS NOTICE IS SUWECT TO THE REQUIREMENTS IDENTIFIED IN THE I'U13I3C HEALTH <br /> SERVICES/ENVIRONMENTALHRALTH DIVINON(RHD)POLICY M4307, ORDINANCE CODH OP SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER .CODE. <br /> GOVERNMENT CODE AND THE 13VID13NCE CODE.. <br /> 1. AMAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTSARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY MCCLUDING HOLIDAYS, 6:00 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. DEPOSI'T'S WILL BE RETURNED TO TNB APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE.REVIEW FEES <br /> CHARGES ARE DUE AND PAYABLE O TO REVIEWING THE <br /> CHARGE. THE BALANCE OF THE �1 R <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED 13Y THE MR) STAFF AT THE M(PEN5E OF THE APPLICANT. IMS ADDITIONAL <br /> SERVICE WILL 1319 BILLED TO THE APPLICANT POlt PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE-REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />