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A <br /> • SAN JOAQUIN COUNTY • OR�CFM�)�l <br /> PUDIAC HF:ALTII SERVICES Sq Cj l�F <br /> F.NVIRONMF,NTAL HEALTH DIVISION EN R eE,��OggV/ � lgpO <br /> PUBLIC RECORDS RELEASE APPLICATION 4 I Ed(TN C, <br /> eE -VTI. <br /> ADDRESS APPTICANI PHONE NO Th0ti���>I <br /> 5t I - oZ 7 <br /> AGENCY SAM vn� lc)rl r , n U4 R 3�7 <br /> 7 E PHONE NO <br /> ADDRESS <br /> P11-S AIJDRBSS L.IIAD A_ _C� DAZg <br /> - VaacL cjDj Ci a 1111an4ein <br /> - 1199 1/0nrla,rhi <br /> ndlrh l� (irt, v VYLnrlrra <br /> k• -)Vt-f- <br /> 7s mo <br /> - 410o J-udm I0. <br /> Yh0rvlefaTh(+ - S /�TIM ilft, i 0, pafl C PYIn rt�Prq <br /> �Inoilro_n ! Neu) 1177 - I095 <br /> TEIIS NOTICE is sU13IECT TO TIIE REQUIREMENTS' IDENTIFIED IN TELE PU13UC HEALTH <br /> SERVICEWENVIRONMENTALH13ALTH DIVISION(F3iD)POLICY#92-007, ORDINANCE CODE OP SAN <br /> JOAQUIN COUNTY, BUD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> OOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TFN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMEN'T'S 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 APPIICATION AND A NONREFUNDABLE DEPOSIT OF $78.00,,. <br /> 1S RFQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FIFILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EFID. <br /> 4. THE ABOVB IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> r'IIARGE. THE BALANCE OF 771E CHARGES ARE DUE AND PAYABI"E P_RIO TO REVIEWING TILE <br /> DO(AIMENT(S). ; <br /> PUBLIC I:LI-hS/RFCORL)S NOT REI URNED IN'ITIB SAME CONDITION AS RECEIVED WILL BE <br /> CORRFCTED BY TTIB SHD STAFF AT 1146 FXPFNS13 OF TILE APPLICANT. TIUS ADDITIONAL <br /> SERVICE WILL BE BILLED 7'O THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT EE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT — -- — DATE <br /> i SIf,NA71IRE OF RELEASING OFFICTAT. DATE <br /> 111 00 14 (REV 11./92) - <br /> -n ,T F6;stsst i_in 1.� iiass:Tt E66T-K-RC) <br />