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SAN JOAQUIN COUNrY <br /> j ` gr� Or,7 �IT-�/PUBLCHEAL"I SERVICES Sq �F0 <br /> LI� DIVISION ry <br /> PUBLIC RECORDS RELEASE APPLICATION NENt�Ty Cout'vA(yeq. F1FAN1 If Ior3 No ( )55I <br /> ADDRESS <br /> pcnT <br /> a <br /> .35�[ <br /> AGENCY NAME CE PHONH NO <br /> ADDRESS <br /> IJLS ADDRESS I EAD A C DATE <br /> SII ' <br /> " — VanAIC61I G a � rnnnkin <br /> — ! AdLinb If G 4itA— <br /> r)Aerh,It. CA rt, <br /> f <br /> k-- 7Vt"— <br /> �Ys�+Stl - -75 mo , - <br /> --LAP' Annet r - Wo Sadusfria.l Par Dt. l anEca <br /> Yh0.rv�ernZv�r�iit{rial +irk S 1S T�n.lu�1`i`ia� ('H C � rnn rv�Piq <br /> f�n9A1YOr1 Neu ) 11� — 10 .5 . Maavkm <br /> i <br /> THIS NOTICE IS SUBJECT TO TFIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SHRVICBS/ENVMONMENTALHEALTH DIVISION(IIID)POLICY,#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, WID PEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUES , <br /> ' <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE Bi Y APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALTING (209)468-0340. OFFICE HOURS FORiAPPOINTMBNTS ARE SCHEDULED <br /> MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8.00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> ?. A PUBLIC RECORDS RELEASE APPLICATION ANDA ON-REFUNDABLE DEPOSIT OF 578.00�. <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EFID. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CIIARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING 171E <br /> nOCUMENT(S). ; <br /> PUBLIC FILHS/RECORUS NOT RETURNED IN INE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF TITE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT.' <br /> F- ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE PEN40VED FROM THE EHD PREMISES. <br /> i <br /> SiGNATURB OF APPLICANT — I)ATE q�aFfl9- <br /> ';Ir;NATURE OF RELEASING OFFICIAF. DATE` <br /> Lill 00 14 (REV 12192) ----- <br /> � <br /> 1,19H:3 IP±'.£:TT £E.ST-K-Rn <br />