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_ SAN JOAQUIN COUNW <br /> PUBLIC HEALTH SERVICES <br /> ENVHtONMENI'AL HEALTH DYMION <br /> F UBLIC RECORDS RELEASE APPLICATION} <br /> A uGANT Ski MOM NO5(Q <br /> o <br /> ADDRESS PIiONB NO <br /> AGENCY NAME ' <br /> ADDRESS <br /> JUN <br /> ME APDRMSjA- <br /> o 2D0 3 E I-Iar*rv-r <br /> Now <br /> om <br /> S� <br /> kr rtl� �2 2 <br /> Cer�Ki z l __ i <br /> TTHS NCMCp IS SUjacT -.to TTIE REQUHtEMSNTS IDENTIFIED IN THE PU8L3C HEALTH <br /> S13AYlC'Bsi8NVIRONMENTALHEALTH D1VtSION(EMD)POLICY#92-0M.ORDINANCE CoDL OF SAN 11 <br /> JOAQUM COUNTY, MD FM AND SMVICE CHARGE RESOLUTIONS, STATE WATER CODE, 1 <br /> (IOVERNhMIT CODE AND THE EVIDENCE CODE. <br /> ' 1. A MAXIMVM QF TIRN.(10)PRmSB ADDREMS PER REQUEST'. <br /> 2. PU13L.1C FILE&7ECOIjDS REVIEW ARE BY APPOINTMENT ONLY, APPOTNIMMM ARE <br /> ARRANGED BY CAULING (209)468-0340. OI;F'ICS HOURS POR AT'P(HN'IIi+IEN'I'S ARE SCHEDUTLD <br /> MONDAY THRU FRIIlAY EXCLUDING HOLIDAYS,6:00 A.M. TO 12:00 NOON AND 1:00 P-M.TO d:" <br /> P.M. i <br /> 3. A PUBLIC RECORDS RELEASE APPI.iCATI(3N AND A jam( �&FUNQABT DEPOSrr OF S78-W <br /> IS REQUUMD. IDEPOSITB WILL 139 RETURNED TO THE APPLICANT IF TFM FU-F-�OKDS ARE <br /> NOT AVAH BLE WTTHIN TM CUSTODY OF THE MD. ` <br /> 4. THE A$OV13 TT]ENTIFIED DEPos T I9 APPLIED TowARns -MV- TOTAL FlUg RBVI W FEE <br />�i CHARGB. TM BALANCE Off TM CIMaUS ARB DUE AND PAYABLE P.13],QR TO REMWING THE <br /> DOCUMUMS). . <br /> 5. PUBLIC FILBsAMCORDS NOT RETURNBD IN DIE SAME CONDIT1oN AS RECEIVED WILL BE <br /> CORRECTED BY TIM El[D STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDMONAL <br /> SEItVICE WILL BE Bn.LED TQ 111 Arvr jcANT FOR PAYMBNT. <br /> 6. ORIGINAL MBLIC FILE"WORDS SHALL NOT BE REMOVED FROM'SITE EHD.,PRE MZSES. <br /> SIGNATUM OF APPLICANT DATE I If <br /> SIONATURB OF RELEASIN0 . CIAL DATE <br /> EH 00 14(REV 12192) <br /> 199 ' <br /> 1 � � <br />