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~J— i �— i �� 1 1 : LOMrI f - eZt�l•� ^- � i �v sw ........ � . w. � � - _ _ f� . <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES �' ' :;' :' •. �II' 1`,�_�i � �C/�/_ <br />F24VMONMM T'AL HFAL'TH AIYLSION � <br />PUBLIC RECORDS REXYASR A VUCA.'TION•.; n <br />E : l ` ti fI 34 <br />AM1CANTZW <br />ADDRESS <br />AGENCY NAME <br />ADDRESS FO <br />EM ADDRESS L96P AGENCY <br />:Mi �. <br />, <br />ri/1 � f 11 <br />5 -91f'Z <br />lip <br />if <br />IHSS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #92-007, ORDINANCE CODIr OF SAN <br />JOAQUIN COUNTY. EHD PEES AND SERVICE CHARGE R SOLLMONS, STATE WATER CODE, <br />OOVERNMFNT CODE AND THE EVIDENCE CODE. <br />I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FILES/RECORDS REVIEW ARE BY ARMINTMENT ON I Y. APPOINTMENTS ARE <br />ARRANGED BY CALLING {209)469-41340. OFFICE HOURS FOR APPOINTMENTS AliE SCHEDULED <br />MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8.00 A.M. TO 12:00 NOON AND 1.00 P.M. TO 430 <br />P.M. <br />3. A PUBLIC RECORDS RELEASE APPLICATION AND A NINON -REFUNDABLE DEPOSIT OF $79.00 <br />IS REQUIRED. DEPOSDS WILL BE RETURNED TO THE APPLICANT IF THE FILE AIECORDS ARE <br />NOT AVAHABLE WITHIN THE CUSTODY OF THE IIID. <br />4. THE ABOVE IDENTIFIED DEPOSIT IS APPLJED TOWARDS THE TOTAL FILE REVIEW FEE <br />CHARGE. THE BALANCE OF THE CHARGES ARB DUB AND PAYABLE PRIOR TO REVIEWING THE <br />DOCUMb"s). <br />S. PUBIC FIL.E.SIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE II4D STAFF AT THE EXPENSE OF THE APFLICANT. THUS ADDITIONAL <br />SERVICE Wn-L EE BILLED TO THE APP 1CANT FOR PAYMENT_ <br />6. ORIGINAL PUBLIC FILMRSCORDS SHALL NOT BE REMOVED FROM THE EHD PREMUSES_ <br />SIGNATURE OF AFPUCANT <br />SIGNATURE OF RELEASING OFFICIAL <br />ER 00 14 (REV 121992) <br />[�ZINL-�IIQ <br />DATE <br />