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7-27-1995 11 :32AM Fif AGE NC 209 956 0700 • P. 1 <br /> SANJOAQUINCOUNTY �( 4iI£ ' <br /> PUBLIC HEALTH SERVICES ' n <br /> kNVIRONNIENTAL HTF.ALTH DIVISION U <br /> PUBLIC RECORDS RELEASE APPLICATION Du <br /> APPLICANT AA ctZ.A CZEAS u l tom. -a Leif PHONE NO <br /> ADDRESS j g o3. rn Ap jut S 7wjq *L ti <br /> AGENCY NAME i-I 6 PHONE NO <br /> ADDRESS L5R pk-L , S�cL�7aa D, Mar-3&E <br /> FILE ADDRESS LEAD AGENCY_ DATE <br /> �o�r 33 <br /> to. 35� o Yhzu o <br /> o ]403 m A is 3s�6 0� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICESIENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92.007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THEE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PRF-MM13 ADDRESSES PER REQUEST' <br /> 2. PUBLIC FH..E.S/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CAL11NO (209)466-0340. 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 AFFUCATION AND A NONO -REQ DEPOSIT OF 578.00 <br /> IS REQUIRED, DEPOSIT'S WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAIL II E WITIQN'THE CUSTODY OF THE EHD- <br /> 4. <br /> HA4. THE ABOVE IDENTIFIED DEPOSIT IS APPIJED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THEE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPIJCANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FTLES/RECORDS SHALL NOT BE REMOVED FROM THE MID PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> ER 00 14 (REV 11292) <br /> tee d2 <br />