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'07-08-1993 01 32PM FP.OMf. V TO 19163641966 P.02 <br /> PUBLIC HEALTH SERVICES <br /> ITNVIRONAWNTAL HEALTH I)IVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT A Z-C,Llwlk 'n64;k- (CA Stfc;�7PIIONE No <br /> ADORE.SS_/()j%r) S)J7. -( PWkw Y I '514lIF w $A .YEA 11 rit��1 CA �i'� l 7 <br /> AGENCY NAME PIIONS NO <br /> ADDRESS <br /> ME ADDRESS LEAND AGENCY DATE <br /> .SrC CAIC(051- I fzM7 <br /> TF119 NOTICE IS SUBJECT TO TRP REQUIREMENTS IDENTIFIED IN TIIE PUBLIC HEALTH <br /> SERVICBS/ENVIRONMENTALII$ALTH DIVISION (F,HD)POLICY #92-007, ORDINANCE COV19 OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE, <br /> L 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 (209)468-0340. 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-REFUNDABLE DEPOSIT OF 878.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO TILE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT 1S APPIIED TOWARDS 114E TOTAL FILE RPVIEW FEE <br /> cTIARGE. TIIR BALANCE OF THE CHAROP.S ARE DUE AND PAYABLE au_pA TO REVIEWING THE <br /> DOCUMENT(S), <br /> 5. PUBLIC FILP.S/RECORDS NOT RETURNED IN THF_ SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EMD STAFF AT THF EXPENSE OF TILE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. , <br /> 6. ORIGINAL PUBLIC PILES/RECORDS SHALL NOT' BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT / DATE 4Zf I/ J - <br /> SIGNATURFOFRF_LEASINOOFFICIAL DATE 7 <br /> 111 00 14 (REV 12/92) -- <br />