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t SAN JOAQUIN COUNTY VMXWtw-� CA <br /> PUBLIC HEALTH SMWCjk, ' , <br /> . ESMONMENTAL D.RAL'I'H I1IV'Y9I0N°,� <br /> PUBLIC RECORDS RELEASE APPI JCATJON.',.--- <br /> r A�DRRSS PHONE NF117 - <br /> AGENCY N' x [ONE N <br /> f ADDRESS <br /> FILE "D= <br /> lEAQ ArD <br /> • i <br /> PAYMENT <br /> - h <br /> . AN.j0AQU111J{.krwN Y <br /> wfUE. OLNTA HEAL7t,..'41vl <br /> Iwo <br /> THIS NOTICE IS SUBJWr y TO THE REQUIREMENTS IDEN-n IN t=: <br /> = PiJE�C' HEAI.'�i <br /> SERVICES/9NViRONMVTALHEALTH DT sim{EHD)P ucv#n-w7'bPblNANCB CWU OP SAN.a t <br /> JOAQU'tN COUNTY; 900.PBE�S1 AND SERVICE CHARGE RESOLt MoNSi; ,TATE WATER CODE, <br /> GOVF:immENT CODE'AND THE EVIDENCE CODE. , <br /> I. ' ',.A MAXIMUM oF,TEN (10) PREWS13 AbDttPSSE:S pill AEQVEST.Al ` <br /> a <br /> 2. p XIBUC FILLS/RECORDS REVIEW ARE $Y AMMNIMENTAPI ]1NTMENTS An <br /> h AWtANiBti BY cALLtNc3 <br /> _ ._ (2"S-0340: OPI~ICB HOURS ICOR AI'�POINTIM'SN'!'S Aig SCHBDLE.BD . <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M.TO 12-OD NOON AND 1:00 P.M.TO 4:30 <br /> 3. ' A I'USI.IC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE nMSIT OF$78.00 <br /> IS REQUIRED, DEPOSI'I`S.WILL BE RE'T'URNED TO THE APPLICANT IF THE HLES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE cUSToDY OP THF EHD. }a <br /> 4. } ;-: THB ABOVE IbENTIFIEb DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEfi <br /> 04ARG9. TIIE BALANCE OF THE CHARGES ARE DUB AND PAYABI MM TO RBVIBWING THE <br /> 5. PUBLIC FILES4=ORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILLBE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APpucANT. THIS ADDMONAL <br /> SERVICE WILL BE BELLED TO THE APPLICANT FOR PAYMENT. <br /> t; <br /> ORIGINAL PUBLIC F1LIxS/RECORDS SHALL NOT BE REMOVED FROM TRE EHD PRE_MIsE.S, <br /> SIGNATURE OF APPLICANT DATE <br /> C <br /> Uri CAW nFUrn <br /> eY LRA TT <br /> a � � <br /> TOTAL P.02 <br />