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i./ SAN ,JOAt2UIN COUNTY <br /> I"WILIC IIEAL'I'II SERVICES <br /> ENVIRONMENTAL HEAL111 DIVISION <br /> PUBLIC RECORUS RELEASE API'LICATION <br /> APPLICANT f uc -Tkm4 yo PIIONE NO Log— fYfj--- 9lz 'e <br /> ADDRESS F.o . L3by ZO 5?'eck4� a zu <br /> AGFNCY NAME, PHONE NO <br /> ADDRESS <br /> FILE/ ADDRESS LEAD AGENCY / DATE <br /> / <br /> `7 yy 5 'i ' ?•e.f `7rh �-�!JS,Tl1C0 C/11)n irwrn�r�Dh <br /> k 4 H N 7�( 54;J —CJ 5 r �C <br /> V 1. <br /> car <br /> P� EIVTq • <br /> 1111S NOTICE_ ES SIJ RJFCr Z'OZI1 I _ �rr'r9 IDFN'IIFIED 1N 111E PUBLIC FIEALTF( <br /> SFRViCFS/I?NVIRONMF.NTAL I1FA1 T1J DIViSIU.IR�I(F1JD) POLICY #92-()(17, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, E11D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> (70VFRNI1iFN-r CODE AND TI1133 EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE-ADDRESSES PER REQUEST. <br /> 2. f(Jnl-l(' Fii_1;5/RECORDS REVIEW ARE BY APP'OINTMEN'T' ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMEN'T'S 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.N1. <br /> 3. A PI 113L1(' RI?('ORDS RIi1,17ASE APPLICATION AND A NON-RE-FUNDABLE DEPOSIT OF$78.00 <br /> i5 RFQIIIRFD. I)EPOSTT5 WI1.1, BF RM- IRNED TO TIIF APPLICANT 1F TIIE FILES/RECORDS ARE <br /> NOT AVAII,ARI.F WITIIIN 'r11E CUSTODY OF THE E-HD. <br /> 4. THE A130VF IDENTIFIED DEPOSIT IS APPLIFI) TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. TIIF BALANCE of THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMFN-r(S). <br /> .5. PUBLIC: I'ILFSIRF,CORDS NOT RETURNED IN 111F SAME CONDI'TDON AS RECEIVED WILL BE <br /> CORRECTTP) BY THE MID STAFF AT THE EXPENSE OF TTIF APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED] TO TTIF APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC IDLES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> \ SIGNATURE OF APPLICANT DATE <br /> Ci(7NATURF OF RFil.IiASIN(T OFFI(:IA1, _ — - ------ -__--•• DATE <br /> 1:11 00 14 (REV 12/92) <br />