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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> EAc�ONh'IF7�'TAL �EAL'I�i DIVL5I0�I <br /> PUBLIC RECORDS RELEASE APPLICATION 67q '5C L` <br /> APPLIc Pxor.7a No. �ao9) yb`I-JLb(c <br /> ADDRFS <br /> AGEENCY: NA�� rl PHONE NO <br /> ADDRFS /U 5?MOE <br /> FII B A I FAD AGENCY I)ATE <br /> �0 1 <br /> r <br /> O r <br /> • �i <br /> THIS NO E 15 SUBIECT TO THE REQUIREMENTS IDENTIFIED IN THE PL'BUC HEALTH <br /> SEi VICES/t 7V>)RONhf ENTAL HEALTH D1 VISION(EHD)?oUCY ty2-007,ORDINANCE CODE OF SA.V <br /> !OAQUIN C UNTY, MID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNjXi#vT CODE AND Tr.S EVIDENCE CODE. <br /> 1. A N k' UM OF TIN (10) P7iESUSE= DRESSES FFR REQUEST. <br /> 2. PUE)OC Fil rVRECOUS REVIEW ,=-RE BY APPOINTMENT ONLY. APPO!\` LENTS ARE <br /> ARRANGED.IBY CALLING (20?):S1-0340. OFFICE HOURS FOR APPO)N-rmVNTS ARE SCHEDULED <br /> MONDAY 7*11 FRIDAY EXCLUDING HOLIDAYS, 8:00 A-M. TO 32:00 NOON AND 1:00 P.M. TO 4:50 <br /> P.Af. <br /> 3' A PI) UC RECORDS RELEA5E APPUCATION AND A XON-REFUNDABLE DEPOSIT of S78.0D <br /> IS RrQuDU4. DEPOSITS 'WILL BE RETURNED TO THE AFPllCANT IF THE FILESI:RECORDS ARE <br /> NOT AV uL 4---LE MTHIN 97:E CUSTODY OF THE EHD. <br /> 4. THH, EOVE IDENnFIED DEFOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. TIDE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PIUO TO REVIEWING THE <br /> DOCUMENT(). <br /> 5. PUB '.CFILES/RECORDS NOT RETURNED IN THE SA-ME CONDITION AS RECEIVED "LL BE <br /> CORRECTEI] BY THE END STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERYICE WILD..BE BILI Fri TO THE APPLICANT FOR PAYM)vNT. ' <br /> 6. ORIGIIgALPUaLIC FILES/RECORDS SHAM.NOTBEREI,SOVED FRONT THE EHD PREIUSES. <br /> SIGNATURE OF APPLICANT DATE eZ 5 <br /> SIGNATURE RELEASING OFFICIAL DATE <br /> EH 00 14 CkEy 17192) <br /> Cj <br />