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k 001061 <br /> puBLIC I yALTH SI.RVICnENVIRONMENTAL h;--ALTH <br /> ENVIRONMENTAL HEALTH DIVISION PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT' ` ,e PRONE NO 9SC�• - 2t� <br /> ADDRESS 3 � <br /> AGENCY NAMBrA ,. ce —�PH NB NO <br /> ADDRESS <br /> F{LE ADDRESS LEW AG , CY <br /> 15 ca pa vqg�A <br /> '4 +J /, is <br /> 1 / _7 r <br /> C'o Gc <br /> -- <br /> r <br /> M-US NOUCB IS SC.WEcT TO THE REQUIl EMIaNT5 IDEN'nFMD IN THE P'CIB JC IMALTH <br /> ShRVICES/FNYIRONMENTAL HEALTH DIVISION(E-M)POLICY M-007,ORDINANCE CODE OF SAN <br /> JOAQMN COUNTY, RHD IMS AND SERVICE CHARGE FMOLUEONS; s'TATE WATER CODE, <br /> OOVERNMBNI'CODE AND THE EVIDENCE CODE. <br /> 1. A MAMMUM OF`173N (10)PREMISS ADDRESSES pER REQUEST. <br /> a• PUBLIC FILESIRF.CORDS REVIEW ARE BY AtaQ31 �I+TLY. APPOINI114wrs ARE <br /> ARRANOBD BY CALLING (209)465-0340. OPFICE HOURS POR S ARE SCREDULED <br /> MONDAY 711RU F'iuI,7AY EXCLUDING HQLIDAYS,8,00 A.M. TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS TEL EASE APPLICATION AND A DEPOM OF$78.00 <br /> Is REQLMU D. DEPOSITS WILL BE RM RNliD TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABL.$W1MN THE CUSTODY OF THE EUD. <br /> 4. 'IUE ABOVE IDENTIFIED DEPOSIT TS APPLIED TOWARDS n E TOTAL nU REVIEW FPB <br /> CKARGE, T14E BAL"CE ON THE MARGa ARE DUB AND PAYASITi BU TQ krVIE9 MG'THE <br /> DOCUMENT(S). <br /> S. PUBLIC F]L,BSMECORDS NOT RETURrgED Itj TF-[E SAME COMMON AS RECfjVSD WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE Wwws8 QF TH#3 APPZ,ICANT. TRIS AIDDMONAL <br /> SERVICE WILL BE BLUED TO THS APPLICANT EOR PAYIVIENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT RE REMOVED FROM THU ERD PFjMSFS. <br /> SIQNATU"OF APPLICANT DATE _ <br /> t <br /> SIGNATURE OF RELEASING OFFICIAL DA7 <br /> EK 00 14 (REV (7192) <br /> 12/IQ mljNvzvtN ZZZZb' s9T6 90:60 000Z171 1013 <br />