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A,4 r <br /> SAN JOAQUIN COUNTY 0c p 4z VF or <br /> PUBLIC HEALTH SERVICES p s4tV <br /> SLIRONMENTAL HEALTH DIVISION <br /> HFT19/rDPUBCRECORDS RELEASEAPPLICATION 9/4f, yt //SE ;v tiA FS <br /> APPLICANT e.l1A� _Th nr0 PHONE NO (�D9)SS I <br /> 5 <br /> ADDRESS 3U q rYlnrl o S f n Cl4 RS 3.S 7 <br /> AGENCY NAMB (`j E PHONE NO <br /> ADDRESS <br /> ELLE ADDRESS LEAD AGENCY DATL3 <br /> fu - k.71 <br /> V a nAt r 6i LL Ci rc�a+ rna n k.n <br /> - 1 nd�rt1'1 <br /> - andJrh l} Ci rr,h"OA , <br /> k• Thi-lu- <br /> KPAA K- T-k.q�fL— <br /> E r} - -75 IYIo <br /> S is <br /> YY�[iw42rau:na«c-kTiol i4ict - 5 1.15 TIM ustrial fl- 1)(-. i mn n4(p <br /> rl"0urn n �W Ne.A) I7 -dja�'-� moan fit . . YY\dA-�-Prn <br /> 1 THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(MD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, ERD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST.. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMEENT ONLY. APPOINTMENT'S ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE 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 RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00,. <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO T14E APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING T$E <br /> DOCUMENT(S). <br /> PUBLIC FILES/RECURVS NOT RE'IUKNED IN THE SAME CONDITION AS RECEIVED WILL,BE <br /> CORRECTED By THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. TRIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. , <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE <br /> STGNATURE OF RELEASING OFFICIAL DATE <br /> TSH 00 14 (REV 12/92) <br /> 1' =O-d 26S£TSST n1 1,10�H ld'HS2:TT ZC6T-9c-9O <br />