Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> PUBLIC IIEALTFI SERVICES <br /> ENVIRONMENTAL IIEAUTII DIVISION <br /> /PUBLIC RECORDS RELEASE APPLICATION <br /> �PHONE NO <br /> ADR AN't' a'S CO <br /> ADI7DRkI�gS .� _ <br /> AGENr'Y NAME PIIUNE NO <br /> ADDRESS <br /> E3USING�S N/1MliL _PRQG1_21�M OR <br /> FULL _ADUIZGSS 1_YPL' OF CILG <br /> FAC1L1_1'Y <br /> siDE /'%PICA<� <br /> 6?�C�fe",�� ) 'U i/,i%N: • j (itF_ L.�f)'V_ <br /> 4 k 4 4 k F** 4 4# k k i k 4 4 k k k <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1/94-007, ORDINANCE CODE OF <br /> SAN JOAOUIN COUNTY, EI-10 FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN (101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC_ FILES/RECORDS REVIEW IS BY APPQINTMENT_ONLY. APPOINTMENTS ARE PROCESS- <br /> FD BY CALLING 12091468-3420. OFFICE FLOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> TI IRU FRIDAY EXCLUDING HOLIDAYS. 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM.' <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY T14F. EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO T14E APPLICANT FOR PAYMENT. (SEE EHD POLICY 94. 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> . . . . . . . . .. . . . . .. . . . . . . . .. . . . .' .p. . . . . . . . . . . . . . . . <br /> SIGNATURE OF APPLICANT ) ��� X��� DATE • ••y7 <br /> DATE <br /> SIGNATURE OF RELEASING OFFIC <br /> F.11 00 14 IREV 9/96) <br />