Laserfiche WebLink
i <br /> PUBLIC HEALTH SERVICE.q <br /> 4.EN MONNIENTAL HEALTH D1V__,.JN 46 A&,I . <br /> ' SIS-�b <br /> PUBLIC RECORDS RELEASE APPLICATIONL- <br /> G 3 � I <br /> CANT PHONE NO�� <br /> ALi.t�PSS �- <br /> AGENCy NAME L FH4NB NO <br /> ADDRESS <br /> E.H ADDRESS LF_kD AQ—EIM DATE <br /> L�L)►'L. <br /> THIS NonCE IS SUBJECT TO THE REQUIRBMEIM IDIDMFrED IN THE PUBLIC HEAL-rH <br /> SERViC&VaNVTRONMB TAL HEALTH TxVIS'DN M4]D9 PO]..I.CY#924007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RFSOLUnONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PRtWSE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILFSIRECORDS REVIEW ARE BY APPOWTIYIENT ONLY. APPCCJ'I ENTS ARE <br /> ARRANGED BY CALLING (2,09)468-0340. OFFICE HOUPS Pop, APFoINING2,TS ARE SCHMULbD <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 5:00 A.M.TO 12:00 NOON AND I:4U P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELPASE APPLICATION AND A NON UNDABLE DEPOMT OF$78.00 <br /> IS REQUII ED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE PE&TEMRDS ARE <br /> NOT AVAILABLE W TMN THfi CUSTODY OF THE THD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPllED TOWARDS THE TCrtAL FILE RTVTEW F'EE <br /> CHARGE. THF BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVI�4TING THE <br /> DOCUM ENT(S). <br /> 5. PUBLIC FIIESIRECORDS NOT RETURNED IN THE SAME CONDMON AS RECEIVED wTLL BE <br /> CORRECMD BY THE EHD STAFF AT THE EXMSS OF THE APPUCANT. 'THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO TETE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBUC FJLSS/RECORDS SHALL NOT HE RENIOVED FROM THE E14D PREi►SIS$S. <br /> SIGN�tTiJ]ZF OF APPL1CAJ tr ❑A, <br /> SIGNATURE OF RELEASING OFFICLkL DATE <br /> 5100 14 (RFV 12!92) <br /> TOTAL P.eC <br />