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[TRI,I(; IIFA[,TiI S . <br /> F,NVIRt)NPOE.NTAL IIEALTII DIVISION <br /> PUBLIC RHCORDS I2F.LEASE AP LICATION <br /> -ArPVCANT Na <br /> ADCNMW <br /> r°. <br /> AR . NO !1--3 9>0 d <br /> Ably S , . <br /> �r <br /> FI QM---_§ L AQENQY T ,_ <br /> �g�'� ///�1 g <br /> JIB L/r 4" 4' '7 <br /> C°�.. al rGPUGC 4` �• i►14w.®,�6 i Gt _ _ _ <br /> r (C tkurt ZJ 30 <br /> Tilts N®TFCF, iS SFJRJECi' '1'0 711F Ri QU1REMFTN'1'S IDENTIFIED iN THE PUBLIC i-tEALTII <br /> NERViCH.WENVIRt)NNINN'rAl-llttAi.'1•BI 111VIXION(MID) 1'MICY MA2-t1l �111it'1MI►N n('Cfi7A�P W/kN <br /> JO AQUiN COUNTY. EIID PEES ANT) SERVICE CIIARGR RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND T1113 FVIF)F:N('T; ('ODE. <br /> 1. A MAXIMUM OF TEN (10) I'RI-*MISI- ADDRESSES PER REQUEST. <br /> 2. PUBLIC PILES/RECORDS REVIEW ARE BY APl'U1N -MENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)4611-034(). OFFICE, HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY TIIRIJ FRIDAY EXCLUDIN(, HOLIDAYS, 8:0) A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> ?. A PIJIII.I(' RF('ORDS RIii,I;AS(- Ai'I'l.i('A'T•1()N ANi) A NUN-REFUNDABLE DEPOSIT OF$711.00 <br /> IS REQUIRED. DEPOSITS Will, TIF RT?'FIiRNF D TO "illf. APPLICANT IFT1113 FILrS/RECORDS ARE <br /> NOT AVAILABLE., WITHIN THE ('US-1•Ui)Y OF'111E 1:111). <br /> 4. THE ABOVE IDENiIFIEiD UFP()SiT 1S APPLIED TOWARDS THE TOTAL FILE REVIEW PER <br /> ('IIAR(:E. 'FIiF IIAi,ANCR OP'T'lil- ('iiAR(;i?S ARF T)1►E ANI) PAYABLR P O TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC Fli_FS/RECORDS NO'i'lkr-IIJRNED FN 111E SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY 111E END STAFF AT THE EXPENSE OP 111131 APPLICANT. THiS ADD111ONAL <br /> SERVICE WiLL BE BILLED TO 111F, APPLICANT FOR PAYMENT. <br /> F. ORIGINAL.PUBLIC FFLFS/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> e <br /> SIGNATURE OF APPL -- - DATE Z.- <br /> SIGNA1vRF Or- RELEASING Orl ICIAI, DATE <br /> 1:11 00 14 (RFV 12/92) <br />