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PUBUC HEALTH SERVICE5 <br /> Fo'oNrlRONMENTAL SF •'TH 1?TVL N <br /> PUO:jC RECORDS RELEASE AFPLIC—ta TION <br /> APPLICANT PHONE NU O <br /> AnnRESs �. t (�.- 4S� <br /> AGENCY PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD_AGEN ; ATS <br /> - o w e& <br /> Aim <br /> .4 <br /> t <br /> t 2a <br /> ru '1 ;lq 6 ' <br /> ' E <br /> i <br /> TH <br /> TMS NOTICE IS SUBTECT Tb MM RWMMM S IUEN'�IFIk"D � IN Ci �-AN <br /> sERVICFFS& VIRONN ENTALHEALIH]DIVISION(PED)POU Eis#l.24m,UlIO ORDINANCE COI3&OP SAN <br /> JOAQUIN COUNTY. UM-FEES ANb SERVICE- CE RAGE RESOLUTIONS, STATE ATR CODE, <br /> GOVERNMENT-CODE AND THE EVIDENCE CODE <br /> 1. A MAXIMUM OF TEN(10)PREMISE ADDRESSES P'ER RbpUWT_ <br /> 2. PUBLIC FILESIRECORDS REVIEW ARE,BY O APPO ARE <br /> ARRANGED BY CALIING (7A9)44S8.0340. OFFICE HOlJRS FOR APPOWIM31M AF rs sgWDIUM <br /> MONDAY THRU FRIDAY EXCLUDING HOLJDAYS, 5:06 A:.b L TO 9 2:00 NOON AND i s P.I .TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPIICATION ANDA ONatEFUNDABLE DEI OSr ;OF$79-00 <br /> IS RrQUIRED. DEPOSITS VMX BE RETURNED TO TAE APP1I4ANT IF 11M FILE&REZORDS ARE <br /> NOT AVAILABLE WITMLN THE CUSTODY OF THE El-ID- <br /> 4, THE ABOVE IDENTIFIED.DEPOSIT IS APPLIED TOWARDS THE TOTAL REVIMW FEE <br /> CHARGE. THE BALANCE OF TIE CHARGES ARfi DUE AND PA-WLS RIOR TSO VI *M(;TM <br /> DOCUMENT(S). <br /> S. PUBLIC FILESIRECORDS NOT RETURNED IN SAME&NDIIION AS RE W]iLBE <br /> COAD BY THE E D STAFF AT THE EXPENSE OF THEA APPUCANT. TIII AMMONAL <br /> SERVICE WILL BE BUI.ED TO THE APPLICANT FOR PAYMENT'.; <br /> . 6. ORIGINAL PUBLIC FILESMECORDS SHALT.NOT BE RE1 0VFD FROM THE E W FRSNIISES- <br /> SIGNATURE OF APPLICANT DATE ` <br /> SIGNATURE OF W EASING OPaIL DATE <br /> ER 00 14 (REV 12192) <br /> z0-d 6GO298901ST 01 wwj WdTZ:TO KGT-L,0-b0 <br />