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IU/Uti/9t1 'IUL 10:�� <br />� �(�� pl rj'u�vCLVI • <br />SAN JOAQUIN COUNTY 400 <br />141 � PUBLIC HEALTH SF.RVICFS <br />FNYIROidr � NTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />rso n <br />PHONE NO <br />AGENCY NAME <br />ADDRESS— — — <br />L2AD AGENCY DAi& <br />,e. <br />MS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES[ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY M-007, ORDS ANCE CODE OF DE. <br />AN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, <br />ATE <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. A MA, <br />IhiUM OFTEN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLIC FILES/RL-CORDS REVIEW ARE BY <br />enonitl'rhIENT ONLY. APPOINTMENTS ARE <br />ARRANGED <br />THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO1200 NOON AND 1:00 P.M. TO 4:NTS ARE 30 <br />MONDAY <br />P.M. <br />3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDA6LE DEPOSIT OF 578.00 <br />IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br />NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br />4. THE E IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE <br />CHARGE. THE BVTOTAL <br />ALANC OF THE CHARGES ARE DUE AND PAYABLE PRIOTO REVIEWING THE <br />DOCUMENT(S)- <br />S. PUBLIC FILES/AECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br />5. ORIGINAL PUBLICFIL-ES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br />SIGNATURE OF APPLICANT <br />SIGNATURE OF RELEASING <br />EH 00 14 (REV 12/92) <br />DATE &// A <br />( <br />DATE 1 U <br />