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SEAN JOA.QUIN COUNTY !! <br /> MBLIC nEAI.TFI SERVICE �l` <br /> gNMONMENTAL IIEALTH DIVISION '^ <br /> pIA4ILIC RECONS RF.LEA$E APPLICATION <br /> 'YLiCAN`X' Awe PHOS 1.10 <br /> ADDRESS ! d G--x,-e, <br /> AGENCY N�ffi C... PHONE NO "'A. -11 <br /> ADDRESS <br /> DILE fw `Z- s D <br /> c=x <br /> C __ — �3 ' <br /> RIS IjoTICE IS SUBJECT TD THE REQUIREMENTS 1[)ENTIFIF IN THE PCIBL�C HEALTHT <br /> SERVICES/ENVIRONMENTAL IALT11 'DIVISION(EI10)POLICY.492.007,C)RI)l1�fI�NCr-CADF OF SAM <br /> -1E <br /> JOAQUIN COUNTY, ERD F1312S AND SERVICI3 CHARGE RESOLUTIONS, STATE WATER COBE. <br /> DOVERNMENT COUB AND'1146 EVIDENCE CODS-. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PEK REQUEST. <br /> 2. P1JBU(: FILES/RECORDS REVIEW ARE BY APE01 TMENT ONLY- APPOINTMENTS'.ARE <br /> ARRANGED BY CALI-ING (209)468-0340. OFFICH HOURS FOR APPOINTlti1EN3'S ARE SCHEDULED- <br /> j MONDAY'IHRU FRIDAY EXCLUDING 1-OUDAYS, 5:00 A-M. TO 12:00 NOON AND 1:00 P.1v1. TO 4:30 <br /> P.NI. . <br /> 1 <br /> 3. A PUBLIC IRE-CORDS RELEASE APPUCNI7(:)N AND A NON-REFUNDA II.F DEPOSIT OF 576.00 <br /> IS R9QUIRP-0, DF-PaSITS WILL SH RIr1U"F13 TO -116 APPLJCANT I -n4E FILESIRE-CORDS ARE <br /> j NOT AVAILABLE WITIIIN THE CUSTODY OF THE HHD, <br /> 1 <br /> 4. 'IT1E ABOVE IDEN"I7F1t:U DEPOSIT 15 APPLIED T0WA,IZI7S 'OSE TOTAL FILE REVIEvV Ft9 <br /> CHARGE. 'INE 9AL.AI�lCE OF THE CHARARFGES F DUE AND PAYABLE PRIOR TO ItEVIBWWG THE t <br /> DOCUMENT(5). <br /> 5. ..WJl=I.,IC nt.ESIRF-CORDS N(YF RI;"MPNED IN T14E SAAIS CONDITTOf4 AS RE('_EIVED WILL BE <br /> { CORRECTED BY THE EHD STAFF AT 'ITII~ EXPENSE OF THE APPLICANT. 'IHiS ADDITIONAL I <br /> SF,RVICF WIl_[,BE BILLED TO THE APPLJCANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLICPILES/RECORDS SHALL Nd'P BE REM OVED FROM THE L13L)PRI;M1SIr:. <br /> f, <br /> SIONATURE OF A.PPUCANT __. DATE <br /> SKI NATURE OF RELEASING OFFICIAL- -- DATE � <br /> Fff OO 14 (REV 12192) <br /> .23 <br /> 3 <br />