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SAN JOAQUJN COUNTY <br /> FUEr-IC HEALTH SERVICES <br /> ENViROMIENTAL HEALTH DIVIs A' ON LIC RECORDS RELEASE APPLIC <br /> APPLICANT ��?f�Y1 nkrsrnn PHONE NO10 <br /> ADDRESS PHONp NO <br /> AGENCY NAb� <br /> ADDRESS 1 -Q <br /> AGEyCY DATE <br /> EU ADURLU <br /> 0 <br /> n, , T <br /> r --- <br /> THUS NOTICE IS SUBJECT TO THE REQU1RErlENTS IDENTIFIED IN THE PUBLIC HEALTFT <br /> jjCy <br /> OAQUIN COUNTY,�EIID EES 'D DIVISION <br /> CHARGE RESOLUTION.ORDINANCE <br /> TATE WAT'Mt CODE, <br /> JOAQUIN <br /> GOVERNMENT CODE AND THE EVIDENCE CODE_ <br /> 1. A 1.1A)dMUNI OF TEN (10) PR "']SIE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILEVRECORDS REVIEW ARF BY AppoINnIEN1 ONLY. APPOINTMENTS ARE <br /> NTS <br /> ARRANGED <br /> 7HRU FRIDAY DCCL <br /> INC'HOL HOLIDAYS, 8 00 A.M.A M TO 00 NOON ASCHEDULED <br /> ANDF.I.J.P1:00' TO 4:30 <br /> 1�lOND <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-UrUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS vvILL BE REIUIP-NED TO THE APPLICANT IF THE FILI;SMECORDS ARE <br /> NOT AVAJLA.BLfi WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW! FEE <br /> CHARGE- THE BALANCE 0f THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> S_ PUBLIC FILESIR.ECORDS NOT RETURA'ED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED I3Y THE END STAFF AT 'INE EXPENSE OF THE APPLICANT. THIS ADDMONAL <br /> SERVICE WILL BE B1LJ_,.ED To THE APPLICANT FOR PAYMENT- <br /> 6_ ORIGINAL PUBLIC FILES RECOi SHALL NOT BE REMOVED FROM THE EHD PREMISES- <br /> SIGNA'T'URE OF APPLIC �lf <br /> RATE <br /> SIGNATURE OF RELEASING CIAL DATE <br /> Iii 00 14 OkEy 12!92) <br />