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SAIN JOAQUIN COUNTY ( -. ' 9 � `�'� =' <br /> PUBLIC HEALTH SERVICES <br /> E,y_VjRONNL M-gTAL HEALTH DIVISIO m <br /> PUBLIC RECORDS gELF.ASE APPLICATION <br /> APPLICANT C PHONE NO 3 <br /> ADDRESS PHONE NO <br /> AGENCY NANIE <br /> ADDRF_SS <br /> k <br /> I <br /> TE_; t,,�P�ff <br /> GENCY <br /> RATEi <br /> CA q S3 to 6 <br /> THIS NOTICE IS SUB.TECT TO THE REQ�ME <br /> NT5 IDENTIFIED .IN THE PUBLIC HEALTH <br /> SAN <br /> SERVICES(FNVIRON- E3;�ALHEALAT xD DFTVISIIOE CHAR) PO RESOLL7nONSS, STATE C WATER CODE OF <br /> ODE, <br /> JOAQUIN COUNTY, EHD FEES <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. PUBLIC FILE.SIRECORDS REVERW ARE BY 1 TN A S ARE NffiN7rS <br /> ARE <br /> ARRANGED BY CALLING (209)46$-0340. OFFICE HOURS FOR APPOBVT�� ARE SCHEDULF� <br /> MONDAY THRU FR AY EXCLUG HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1;40 P.M. TO #.30 <br /> DL`1 <br /> P.M. I D DEPOSIT OF $78.04 <br /> 2. A PUBLIC RECORJ3S REUSE AF'PLiCATIoN ANDA NON- <br /> Is REQUIRED. DEPOSITS WILT. B'E RE.TURNM TO THE APPLICANT EF THE FII.ES/RECORDS ARE <br /> NOT AVA- ."LE WMUN T14E CUSTODY OF TEE END- <br /> 3. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF T3�CHARGE ARE DUE AND PAYABLE FRIO$ TO REVIEWING THE <br /> C <br /> DOCUMENT(S). <br /> A. PUBLIC FILES/RECORDS NOT R EIURI IN I5HE F THE A?PLICME OANT S THIS ADDrnONAL <br /> CORRECTED BY THE .EHD STAFF AT THE <br /> SERVICE WILL BE BMiED TO THE APPLICANT FOR PAYMENT. <br /> S, ORIGINAL PUBLIC FiLE5UCORDS SHALL NOT BE REMI?OVED FROM THE EHD PR' 45ES. <br /> TE <br /> SIGNATURE OF APPLICANT PAY <br /> ECEIVEI)ATE <br /> SIGNATURE OF REU SING aFFTCIAi k 3 <br /> lT+ EH Oo 14 (REV 10192) SAN IOAQUI;N COUNTY <br /> `(] P08LIC HEALTH 6RVICFS <br /> �} ENVIROP4MENTAL HEALTH DIVlr,ION <br />