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10-01-1993 11!06AM FRO' TO It 15102951623 P.02 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> FNVIRONMEN rA..L HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NQ S��) 2 q <br /> ADDRESS rc r r N1 t-lt- .A.0 o t-�— C� V/576 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FU-Z ADD$MS LEAD AGENCY DATE <br /> S S S (fin--f' �—�S1'',�•�„J Cyu�t,� 17) I' <br /> 6 s L oN% q.� F 11�elr�l=�q�'r'k <br /> ,. 1 S o 'r�i e i en►mfrL Q r e ( fiDe-!< a n c o f�m P hi <br /> 0Avlty�GAJT <br /> KECEI <br /> Nov 1 6 1993 <br /> TRIS NOTICE IS SUBJECT TO T[M REQUIRIWENTS ID IE3E LTH <br /> SERVICESIENVQtON,�TALHLALTH DIVISION(19M)POLICY M )M%kN <br /> JOAQUIN COUNTY. KRD FM AND SMtVICE CHARGE , WA'IM CODE, <br /> GOVM NM$NT CODE AND 11M hVIDBNCE CODE. <br /> 1. A MA7CIUM OF TEN(10) PREMISS ADDRESSES PER REQUEST. <br /> 2. PUBLIC FIL.B.4/I ECORDS REVIEW ARE BY AI'MMM ENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTWSNTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, E:oD A.M. TO 12:00 NOON AND 1:00 P.M.TO 430 <br /> P.M. <br /> 3. A PUBLIC RECORM RELEASE APPLICATION AND ANON-Rfi1•TTNiSAM.F DEPOSIT OF S72.00,,. <br /> IS REQUU=. DBPOSITS WR.L BE RETURNED TO THIS APPLICANT IF THE ESRECORDS ARE <br /> NOT AVAILABLE WLTM N TAB CLIgMDY OP THE BED. <br /> 4. THE ABOVE IDENTIFY DEPOSIT IS APPLIIm TOwARDS THE TOTAL FIL13 REVIF3R► FE8 <br /> CHARLIE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO RBVIEWiNG TES <br /> DOCUMMMS). <br /> 5. PUBLIC FQF.31RfiCORDS NOT RETURNED IN TIS SAME CONDITION AS RECEIVED WILL BE <br /> C:ORR.HG rE'—" 13Y THE FID gTAFF AT"THE EXPENSE OF TRE APPLICANT. THIS ADDITIONAL <br /> SBRVICB WILL BE BII Ip TO THE APPLICANT PCM PAYMENT. <br /> 6. ORIGINAL PUBLIC FILE&IMCORDS SHALL NOT BS REMOVED FROM THE ET!'ID PR USES. <br /> SIGNATURE OF APPLICANT •6' DATE <br /> SIGNATURE OF RRL BASIN4 3 OFFICIAL DATE <br /> EH 00 14 (REV 12./92) <br /> TOTAL P.02 <br /> r <br /> ' s <br />