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SAN JOAQUIN <br />r l EmALTn sERvicns <br />MqMONMENTAL HEALTH DWISION <br />PUBLIC <br />... r.*+ RELEASE <br />APPLICATION <br />r <br />IV 11 <br />PY30NE N& <br />AGENCY NAME <br />ADDRESS CL <br />/ { <br />-'r <br />SERVICECHARGE • • CODE. <br />• •COUNTY, <br />0OVERNMENT CODE AND THE EVIDENCE CODEL <br />I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST: <br />2. PUBLIC FILESIRECORDS REVIEW ARE BY &p=hITMENT ONLY. APPOINTMENTS ARE <br />ARRANGEn BY CALLING (209)468-0340, omgCF- HOURS FOR APPOIN'T'MENTS ARE SCHEDULTsD <br />MONDAY THRU FRIDAY EXCLUDING HOIIDAYS, 9..00 A.M. TO 12:00 NOON AND 1:04 P.M. TO 4:30 <br />P.M. <br />3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDAIR DEPOSIT OF S79 -W <br />1S REQUIRED. DEPOSITS WILL BE RMURNED TO THB APPLICANT IF THE I-ILC3IRECORDS ARE <br />NOT AVAILABLE W17MM THE CUSTODY OF THE BUD. <br />4. THE ABOVE IDENMFiE?D DEPOSIT IS APPLIED TOWARDS TIDE TOTAL FILE REVIEW FEE <br />CHARGE. THE BALANCE OF THE CHARGES ARE DUO AND PAYABLE PRIOR TO REVIEWING THE <br />DOCUMENT(s)- <br />3, PUBLIC F LESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />CORRECTED BY THE EHD STAFF AT THE EXPENSE OF 911E APPLICANT. MUS ADDMONAL <br />SERVICE WILL BE BILLED To THl3 APPLICANT FOR PAYMENT. <br />b. ORIGINAL PUBLIC FUX&RECORDS SHAT NOT BE REMOVES} S-TtOM THE t:ilU PREMISES- <br />t <br />�0LMtafli <br />SIGNATURE OF RELEASING OFFICIAL <br />ER OO 14 (RSV 12142) <br />LI <br />mm <br />Go75y <br />