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b:wWm rKLJM AUt-- o4u z2mc teileAa <br />)v <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />Fj4N1`Orq1t2qTAL HEAL171 DIWSION <br />PUBLIC RECORDS RELEASE APPLICATION <br />"pljCANTjZ L-//&�U 7�� PHONE NO -:4)9 <br />ADDRESS 4AU 11esff6 zYAaA <br />AGENCY NAME Rtf <br />PHONE NO <br />ADDRESS <br />AIM <br />7M <br />A <br />lop <br />IVIS NOTICE IS SUWE-CT TO TIIE REQUIREMENTS IDENT11FIED IN THE PUBLIC HEALTH <br />lF.11E)t POUCY #924)07. ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, F-fiD FEES AND SERVICE CHARGE RESOLVIIONS. STATE WATJSR CODE, <br />GOVERNMENT CODE AND THE.BVIDENCE CODE. <br />I. , A MAXIMUM OF TEN (10) PRliMJSS AIDDPX-SSSS PER REQUEST. <br />2. PtIBIJC FIl.Z-S/Rr-.CORDS REVIEW ARE By lkj`PQINTMENT ONLY. APPOINTMENTS ARE <br />ARRANGED BY CAUING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEVULED <br />14ONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8,00 A.M.TO 12:00 NOON AND Lou P.M. f6 4:3U <br />P.M. <br />3. A PUBLIC IRE -CORDS RELEASE APPLICAMON AND A IqON-Ftr-X-IJNI)A 111. DEPOSIT OPS73-00 <br />IS REQUIRED. DEPOSITS WILL BE RETURNED TO '111E APPLICANT IF THE FIL&WRE-CORDS ARE <br />NOT AVAILABLE- WITHIN THE CUSTODY OF THE EHD. <br />4. T14IR ABOVE IDENTIFIED DEPOSIT IS APPI-1613 TOWARDS T146 TOTAL FILE REVIEW FEE <br />CHARGE. THE BALANCE OF T145 CHARGES ARE DUE AND PAYABLE PRIOR TO RF.VJEWING THE <br />DOCUMENT(S). <br />S. PUBLIC FILF.S/RE-CORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY TME EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT_ <br />6. ORIGINAL PUBLIC PILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT <br />SIGNATURE OF RELEASING OFFICIAL---- DATE <br />Ell 00 14 (REV 12192) <br />