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7. 4. <br /> +' SAN JOAQUIN COUNTY '�✓ <br /> PUBLIC HEALTH SERVICES <br /> ENViRONMENTAL IIRALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT Kry •r�� /o +rv»,�l�slA'bPwo�s�rc _PIIONE NO 2d9- S'Y V—V 2-eo <br /> I <br /> ADDRESS ?,O.J? <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> I <br /> FILE ADDRESS LEAD AGENCY DATE <br /> 301 S. j4L1f&rA S7-' l3G r- /,,, s,cd <br /> � <br /> 1�ov 5• urore, 5 �/f l r M <br /> 3 r. 4F. Mrne-- Ave Dt Ao X11G 07� <br /> — ( S1. .� YL <br /> Sao N. Uh,'o� S . XC l T-� rM,;� Ca►,�ty/C'o. - <br /> yZ U is ><. (� . 1.'��'e� C24 r,+,•�7' <br /> 5Y o N. Aaforct 5> . <br /> /033 E. 5caii s ./tic 54 n�*, F, <br /> X035 S. A vro�ti S�. i� I"rK�ti6�7L�k Rros. L P <br /> THis NOTICE IS SUBJECT' TO 77111, REQUIREMENTS IDEN'11PiED iN THE PUBLIC HEALTH <br /> SFRVICFS/ENVIRONMFNTAi,IIEA11I1 DIVISION (F-14D) POLICY 1192-007, ORDINANCE CODE OF SAN <br /> JOAQt11N COUNTY. EiTD FEES AND SERVICE CIIARGF RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE ANT)TIIE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARF BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. 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 /> 3. A PUBLiC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS RFQUIRFD. DEPOSITS WILL BE RETURNED TO TIIE APPLICANT iF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITIIiN TiiE CUSTODY OF'141E END. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FiLE REVIEW FEE <br /> CHARGE. TiIE BALANCE OF'rI1E CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FiLFS/RECORDS NOT RETURNi'sD iN THE SAME CONDITION AS RECEIVED WiLL BE <br /> CORRECTED BY TIIE EiiD STAFF AT THE EXPENSE OF TIIE APPLICANT. THiS ADDITIONAL <br /> SERVICE WILL BE BILLED TO IT-IF APPLICANT FOR PAYMENT. <br /> C� 6. ORIGINAL PUBLIC FiLES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE '✓/%/�� <br /> SI(;NA'IURF OF RFLEASING OFFICIAL -_ _ __—_—___ __ DA'T'E <br /> Ell 00 14 (REV 12/92) <br />