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4 F <br /> ,. SAN JOAQUIN COUNTY <br /> PUBLIC HEAD SERVICESL4 <br /> M IRONMEN`I`AL HEALTH D"ION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 'ra ! <br /> APPLICANT PHONE NO `�Z 3 t.(q F- <br /> ADDRESS 2S 2-74t's r, S{-v.<v+ ..e S a-n CM 7 <br /> AGENCY NAME PHONE <br /> ADDRESS <br /> FnZ ADDRESS LEAD A(3DATE <br /> 0 � �r--R c.�E-B�►aso� rzry r��+��c <br /> r <br /> 13P b;r V-niRl (Liro,7 f a+atcc� <br /> Touo�b TawN .,- .._, �iSa 1-�v�-w«tTrt <br /> AY ENT <br /> S4-oc&.t-vh St-etl 300� 14kwmlout j5I <br /> 6M6� <br /> M{d� Z3 73 w-oS+ Ccc.� Qtll��-� of30 L-t-1 D wom{ wt!4 2- <br /> THIS <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIPIED IN THE PUBLIC HEALTH <br /> SERVICE&ENVIRONMENTALHEALT'H DIVISION(KRb)POLICY#02.0",ORDINANCE CODES Or SAN <br /> JOAQUIN COUNTY, BID FEES AND SERVICE CHARGE RESOLUTIONS, 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 APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (249)468-W40. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU 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-RMNDAI3LB DEPOSIT OF$78.Oo <br /> LS REQUIRED. DEPOSTI'S WILE, BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE END. ' <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE ; <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE MO TO REVIEWING THE { <br /> DOCUMENT(S). <br /> 3. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY TH19 13HD STAFF AT THE IIXP13NSB OF THE APP12CANT. THIS ADDMONAL <br /> SERVICE WILL BE BILLET)TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> 1 <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNA'T'URE OF RELEASING_OFFICIAL DATE �{ <br /> EH 00 14 (REV 12/92) 1 <br /> t <br /> h <br />