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.e Q � I <br /> SAN JOAQUIN COUNTY ` <br /> PURIAC, 11EA1,171 S1.11VICI.9 <br /> ENVIRONMENTAL IiEA1,TII DIVISION <br /> P BLIC RECORDS RELEASE APPLICATION <br /> APPrJCANT 11( .� oLtf �p 4110WPHONE NO Zo -g2oo <br /> ADDRESS P o, o c� 45-.>-0/— U z <br /> AGENCY NAME !I PHONE NO <br /> ADDRESS <br /> ,i <br /> r <br /> FILE ADDRESS LEAD AGENCY DATE <br />{ —L Zo-L h f.reqn k 46h <br /> k f Z ��_� u/. ZtJ t��f .�.... n i �•�4 <br /> Al,"f"O/A i3 ea e C <br /> l?_`� S. G_rAti f <br /> Y4(5:�_ 4i'ndS, _ 5f-ifer` t LU /kr c. <br /> 1/7- U r- " <br /> t <br /> 303 rAssoc <br /> --cr <br /> it Gy1�l(o� l,il�r. Ly�/soh wCGk /rNdkaAw/ <br /> 93 E 4>S <br /> :r <br /> �— <br /> r <br /> TFIIS NO'IlCE 1S Sl1BJECf 7,o n IF, 1' p-QU1IiEMLYN'1'S IDEN'1lrIED IN '111E PUBLIC HEALTH <br /> , tRVICF-S/FNVIRONMFNTAL IlEA1,771 DIVISION (MID) POLICY#92-M7, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. EMD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. I <br /> r� <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. ; <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY T14RU FRIDAY EXCLUDING EIOLIDAYS, 8.00 A.M. TO 12:00 NOON AND I.-O0 P.M. TO 4:30 <br /> 3. A PUBLICRECORDS RELEASE APPLICATION AND A NON-REFUNDABLE Dr:POSrr OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BF RETURNED 7'0 TirE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE Wrr7IIN T1iE CUSTODY OF'rr1E E11D. f! <br /> 4. THE. ABOVE IDFN7IFIf'D DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CIIARGE. T11i: BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUM ENT(C). <br /> 5. PUBLIC FILF S/RECORDS NOT RETURNED IN 711E SAME CONDITION AS RECEIVED WILL BE <br /> CORRECMD BY TIIE EIID STAFF AT 114E EXPENSE OF 11113 APPLICANT. THIS ADDITIONAL <br /> SERVICE. WILL, BE BILLED 'TO 1TIF APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RE=CORDS SHALL NOT BE REMOVED FROM THE EI-ID PREMISES. <br /> SIGNATURE OF APPLICANT{ DATE i�4/�/�! — <br /> fi <br /> SIGNATURE(m RELEASING OFr•IC1AI, DATE: <br /> riii [.)n 14 (Rt:V I2/92) -'---'--------------} -.. <br /> .' <br /> P i <br />