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ti a <br /> i; 10-01-1993 11 08AM FRU TO 15102951823 P.02 ' <br /> SAN JOAQUIN COUNTY <br /> --LIC HEALTH SERVICES <br /> ENVIIZONMEPV rA.L EMALTH DIVISION <br /> PUBLICR.ECORDS RELEASE APPLICATION <br /> I. APPxcANT <br /> ADDRESS 77 7C / elr NI <br /> AcmNCY NAME <br /> ADDRESS PHONR NO <br /> i� — - <br /> LEA12AAM_= DIM <br /> F �ViSr Qin(, 9 rfirb iF .. S*rpq s grCo <br /> � p <br /> + 4 5 � M I%1i f j r rl Tr/x P,r <br /> E3 §s LnN% � ►� �` m r <br /> �a <br /> RECE1 EB , <br /> 6 NQV 1 6 1993 <br /> T��Nomm is stnmar -m R�'Qvat t�N1 In tt x.Tx <br /> C&%%NVIRoD1M9N'rAL HEALTH DIVISION(ERD)POLICY 092 <br /> JOAQUIN COUNTY, 13EM FEES AND sMtvIcz CHARGM R6S . WATER CODE. <br /> G0V8RN�VT CODE AND'11M EVIDENCE CODE. <br /> 1. A MAXafUM OF TEN(10) IPRBMISE ADb1t 4SBS PEFL RBQUT?3T. <br /> 3• PUBLIC FiL.BSMECORDS REVIEW ARE BY Hndm APPounwmm ARE <br /> ARRANGED 8Y cALi.TNt3 (20q)*g-03gn. OF1�CE HOURS FOR ARE 9MMOULED <br /> MaNDAY THRU FRIDAY EXCLUdING HOLIDAYS,a:W A.M. TO M00 NOON AND 1:00 P.M.TO 430 <br /> P.M. II <br /> 3. A PUBUC RBCOBI>s RB,L&5S APPLICATION ANDA DHPOgI`i'OF 578.00,, <br /> I3 RHQUIRRb. bBPt1sT1'8 WIIL BBIff URNBD To nM APPLICANT IF THE PU&MMCMM ARS <br /> a <br /> NOT AVA3I ABL,g WrnM TUB CUSTODY <br /> OF 3H6 HHD. <br /> ;. THE ABOVrs MH 7nI D DHtPOS1T IS APPUM) TOWARDS THE TO'T'AL FIL It REVII3W FES <br /> CHAR13'L THB BALANCE OF TUn C'TIAROBS'ARE DUH AND PAYAHL.H p$[Q$TO REVIEWImG T#m <br /> DOCUMOnS)- M <br /> 5 PUBLIC FII.FSJRBCORDS NUT RET[JRNED IN UM SAME CONDITION AS RECI+3YED WILT,$b <br /> �� $Y 'IHS �EID STAFF!!AT TLi$;MaMNSE OF THP APPUCAN3: THIS ADDITIONAL <br /> SMV[CB WILL 88 BUIM 7V THE APPLICANT PaR PAYMMgT. <br /> S• CWGINAL P'CJBLiC FIILSMW ORDS MUJ.L NOT sIi REMOVED FROM TIM WM pp,%USW. <br /> A <br /> MC;NAnME OF APPLICANT <br /> DATE <br /> `SIONATURE OF RELZASINO OPMCIAL DATE <br /> EH OO R{REV IZOM :1 , <br /> TOTAL P.02 <br />