Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> PUBLIC HEA.LT'H SERVICES !. H' Al_Th <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBuC RECORDS RELEASE APPLICATION , 11 3 tI <br /> APPLICANT g ,A PHO NO 209 S& -612611 <br /> ADDRESS 1,203 kV. M Gu — M <br /> AGENCY NAME PHONE NO <br /> ADDRESS 7 <br /> F11-E ADDR.I?SS LEAD AGENCY DA <br /> o Jv 9H-P <br /> sirs � Ile ro <br /> �reF �iGr � Sim <br /> THIS NOTICE IS SUWECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/EN VIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007, ORDINANCE CODE OF SAN <br /> IOAQUTN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND 71IH EVIDENCE CODE. <br /> 1. A MAXIMURI OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESIRECORDS REVIEW ARE BY APPOINTMENT ONLY APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 3.00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBIIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL. BE RETURNED TO THE APPLICANT IF THE FILFS/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLJED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DocUMums), <br /> 5. PUBLIC FILES/RECORDS 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 /> 6. ORIGINAL PUBLIC FILES/RECORDS SHAD..NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT 1 DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 17/92) <br />