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'07-08-1993 01'38PM FP.OM TO _ 19163641966 P.02 <br /> .� PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAIL. HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCANTT/-- v 'C1,C4 rA& CGS;S1-/6;*,9'P110N13 <br /> ADDRESS P G 1 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> B ADDRESS .BAU AGENCY DATB <br /> LS'f-'E CNG -qQ]S <br /> T[T1S NOTICE IS SURJRCT TO THIR, REQUIREMENTS IDP_NTItTIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL TIP-ALT14 DtV[SION(F-MD)POLICY #92-007.ORDINANCTI CODE OF SAN <br /> JOAQUIN COUNTY, HHD PERS AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODS AND THB EVIDENCE CODE. <br /> 1. A MAXIMUM OF TLN (10) PREMISE ADDRt3SSES PER REQUEST. _ <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE 1IY &UO1NTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS EOR APPOINTMENTS ARE SCIIEDULi?D <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 PU13UC RECORDS RELEASE APPLICATION AND A NUN-REFUNDABLE DEPOSIT OF$78.00 <br /> 1.13 RROUIRED. t)EPOStT5 WILL 913 Rt:TURNRV TO 1119 APPLICANT IF T71$ PILES/RfiCORDS ARE <br /> NOT AVAILABLE WITHIN TIIB CUMDY or'I'Mig HHB. <br /> 4. T14E A13OV13 IDENTIFIED DEPOSIT IS APPLIED TOWARDS 11413 TOTAL FTLi3 RpvIEW FEE <br /> CTTARGE. 17111, BALANCE OR TH13 CTIAROPS ARE DUB AND PAYABLE Mpg TO REVIEWIN(3 TRE <br /> I)OCUMHNT(.5). <br /> 5. PUBLIC rlt.PS/RECORDS NOT RETURNED IN THE SAME CONDIITON AS RECEIVED WILL AES <br /> CORRECTED BY THR RHD S`t'At=F AT THE EXPENSE of 11119 APPLICANT. 11TIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYM1~NT. , <br /> 6. ORIGINAL PUBLIC MLP-SIRtCORDS SHALL NO'i- BE RRMOvt3D FROM TIIE RHI) PREMISES. <br /> SIGNATURE OF APPLICANT - DATE <br /> STGNATURT3 OP RF_LEASINO OrriC IAL VATS <br /> Fill 00 14 (REV 12/92) —" <br /> r \ `1 <br />