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r ,94 16:28 ID:CTE. FOX:200-551-3r XGE 2 <br /> SAN JOAQUM COUNTY ` <br /> PUBLIC HEALTH SERVICES <br /> FT' LKONMr"NTAL H£AL7H DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPSICANI' <br /> ADDRHSs I'ucm N sJ `aa 7 <br /> ACIHNCY rIAMs <br /> ADDpXISS ONE NO <br /> FM.H AVD M LEAD-ABX <br /> DAZU <br /> 75 <br /> T <br /> t <br /> THIS NOTICE Is sUEjECT To THE REQUIREMENTS IDE <br /> SERVICES/RNVMONMBNTAL$EALTH DIVISION NTIPiflD W T7fE "UC HFALTH <br /> JOAQUIN COUNTY. EIID FEES AND SFRVICB CHAROSURB50 -007.ORDINANCE CODE OP SAN <br /> GOVERNMENT CODE AND nM EVIDENCE CODIL DONS, STA <br /> WATER CODE, <br /> I A MA%IIKUM OF TEN (10)PREMISE ADDR&SSES PER REQ[;HST. <br /> Z. <br /> PUBLIC CORDS REVIEW BY �gpplNTMENT ONLY- APPOINTMENT5 ARE <br /> AkRANGEr D BY R�W68-0340. oPPIkFiCH HOURS FOR APPOINTMENTS MONbAY THRU FRIDAY EXCLUDING HOLIDAYS,HOA F TO 12 NOON AND RE SIZE RULED <br /> P.M <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A <br /> IS ED <br /> REQUIR . DEPOSI79 WILL BE kMRNED TO THE APPIlDPpoSIT OF VS.00'. <br /> NOT AVAILABLE WITHIN TIB CUSTODY OF THE HHD. F Z5,RECORDS ARE <br /> C THE ABOVE IDENTIFIED DEPOSIT I3 APPLIED TOWARDS THE TOTAL, FILM REVIEW FEE <br /> CHARGE. THE BALANCE OF TILE CHARGES ARE DUH AND PAYABLE Mn TD REV�Na,TXM <br /> bocuMErriYs�• . <br /> 5- JBUC <br /> CORRECTbD BY THE EM <br /> NOT RHItWMD IN ME SAME CONDITION A5 RECIIVPD WIj BE <br /> COFRE$ �� BE STAFF AT THE EXPENSE OF THR APPLICANT. TILTS ADDITIONAL . <br /> 6- ORIGINAL p BN-Lw <br /> To THE APPLICANT POR PAYMENT'. <br /> FH-R&q? CORDS SNAt r NOT BE REMOVED FROM T',E SID <br /> DEMISES. <br /> S[GHATURH OF APPISCANT <br /> DATE JO <br /> °=NATURE OF RELEASING OFFICIAL <br /> BN 00 71 (REV 11/92) DATH <br /> za'd E65i:S5i Ol <br /> WOL1�f lvt'SE:it £665-?Z-B0 <br />