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SAN JOAQUIN COUISM <br /> PUBLIC HEALTH SERVIC-Mak- <br /> VIRONMEWAt HgALT11=ITCATION N <br /> PUBLIC RECORDS LEASE <br /> APPUC --) \,\ sI'll PHONE NO �-7c� <br /> ADDRESS-1-14-3 x - C A <br /> AGENCY NAMR=j c2- <br /> No <br /> LUX <br /> ADDRESS LIM AGENCY DATE <br /> •, - 2 Qk <br /> t -Cie16 a <br /> —PAYMENT — <br /> c__ IME <br /> M ,Y t1993 <br /> 8AN 0A <br /> PUBLIC HEALTH SERVICES <br /> low, 1 <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL U13ALTH DIVISION(EMD)POLICY#92-oo7,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, MID FEES AND SERVICE CH GB RESOLUTIONS, STATE WAT13R CODE, <br /> (;OVMM13NT CODE AND THE 13VIDENCB CODE. <br /> I. A MAXIMUM OF TEN (lo) PREMISE ADDRESSES P ,BqUM. <br /> 2. PUBLIC FILES/RF-CORDS REVIEW ARE BY AM NT ONLY. APPOINTM13NTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARB 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.M. <br /> 3. A PUBLIC RECORDS REL�ASB APPLICATION AND A N914-REFUNDARLi3 DEPOSIT OF$78.00 <br /> IS REQUIRED. D13POSM WILL BE RETURNED TO THS APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN"THE CUSTODY OF TH13 MD. <br /> 4. TH13 ABOVE ID113"PIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE Op THE CHARGES ARE DUB AND PAYABLE PRI TO REVIEWING THE <br /> DOCUMBNT(S). <br /> S. PUBLIC VILt3 "CORDS NOT RETURNED IN T14B SAME CONDITION AS`RECEtVED WILL BE <br /> COMECT13D BY TH13 Mb STAPP AT 7148 13Xp8NSB OF THE APPLICANT. THIS AD13MONAL <br /> SMtVICE WILL 1313 BILLI3D TO THE APPLICANT POR PAYMENT. <br /> 6. ORIGINAL PUBLIC MUS/RECORDS SHALL NOT 1313 REMOVED FROM THE 13HDPREMISEs. <br /> SIGNATURE OF APPLICANT DATE tom( ?n 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />