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10-01-1993 11!08AM FRO TO 15102951823 P.02 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMFWrAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT l vi c� PT3�NL3 Nor <br /> ADDRESS <br /> AGENCY NAM13 PHONE NO <br /> ADDRHSS <br /> FHLB ADD RMS LEAD AGENCY DATE <br /> ho 4,&let <br /> 6 5 Lo u�J.a- Q►o- F �_ <br /> e: ' c S < t 3n co rn 7Phi <br /> PAY-MENT <br /> RECEIVE9 <br /> NOV 1 6 1993 <br /> Tms NOTIcia is SURMCT TO TI-M REQUIR &WNTS ID ��i►LTx <br /> SERVIC SM4`VlRONML3NTAL HEALTH DIVISION MW)POLICY N9IN <br /> `t1�1(�lN <br /> JOAQUIN COUNTY. EHD FMS ANI] SMtVICE CHARGE RE9 WATSlt CODS, <br /> GOVERNMENT CODE AND 716 EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN(10) PREMISS ADDRESSES PLS RBQUPST, <br /> 2. PUBLIC FILESMECORDS REVIEW ARE BY AmMumma ONj - APPOINTMENTS ARE <br /> ARRANGED BY CALIJ NI(i (20"S.0340. OFFCE HOURS FOR APPOINTMaltlTs ARE SCEERDLTLM <br /> MONDAY T19RU FRIDAY EXCLUDING HOLIDAYS, 19:00 A.M. TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. <br /> 3. A PUBLIC REC0kW RELZASB APPLICATION AND ANON-RI3F[tNTfA Ri.R DEPOSIT OF 5719.00,. <br /> IS REQUMM- DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE M-ESMECORDS ARE <br /> NOT AVAILABLE WTIIIIN TIM CUSTODY OF THE ERD. <br /> 4. TRE A$OVH IDENTIFIED DEPOsrr IS APPLIED TOWARDS THE TOTAL F u REVIHW pEg <br /> CHAR011- THE BALANCE OF THIS CHARGES ARE DUE AND PAYABL$PRIOR TO REVIEWING THE <br /> DOC.UMBNTT(S). <br /> S. P"IIC FILP- $CORDS NOT RETURNED IN THE SAME CONDMON AS RECMVIID WILL BE <br /> CORRHCTgn BY THE KID STAFF AT''THE mawsE OF TIME APPLICANT. T1II3 ADDITIONAL <br /> SERVICE WILL$$Bri f pt1 TO THS APPLICANT POR PAYMM11T. <br /> 6. ORIGINAL PUBLIC FI ESMECORDS SIIALL NOT 138 REMOVED FROM TIM ESRD MBMISFS. <br /> SIGNATURE OP APPIICANT -.� DATE <br /> SIGNATURE OF RELEASING OpRCIAL DATE <br /> BH 00 14 (REV 121M <br /> TOTAL P.02 <br />