Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUbL:CC RECORDS P.ELEASE APPLICATION <br /> /� �� PHONE NO <br /> APPLiCANT����`+""--�"� <br /> ADDRESS PHONE NO. <br /> AGRNCY <br /> ADDRESS__ <br /> -aaria+kaa+,at4f at4aas*ra to r4R rraa 4aa+ tk kki t+t*fxt*ar4a!xar+ar ra la+ <br /> BUSINESS NAME/ ROCRAM OR <br /> FV AD�RE6S FACILITY 5 YPA F LE <br /> kta rx#aMit�rxr+aaf if tlxaagar+#4ia4#r4+i+i k+aa taa#i• axt �axarR#a+*x4 . <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN TFIE PU ICH�ALTH <br /> SERV ICESIENJIRONMENTAI. HEALTH DIVISION IEI IDI POLICY q94-007, 4 DINANCE CODE OF <br /> SAN JOAQUIM COUNTY. EHD FEE AND SERVICE CHARGE RESOLUTIONS. I TATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN L10] PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINT AENTS ARE PROCESS- <br /> ED BY CALLINO (2468-3420. OFFICE HOURST RU FRIDAY EXCIUp NG HOLIDAYS, 8:00 AM TOR <br /> 12:00 NOON AND t 0 TO 4D 0 PMMONDAY <br /> a <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIREq- <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS S ADDI WILL 8E <br /> CORRECTED 13Y THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. IS P DDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD P I LICV 94- 0071 <br /> 5."RIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THS EHD PREMISES. <br /> .......................:...i............. <br /> ... DATE <br /> SIGNATURE OF APPLICANTf� <br /> , <br /> SIGNATURE OF RELEASING OFF]] DATE <br /> EH 00 14 IREV 91961 <br /> TOTRL P.01 <br />