Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTII DIVISION <br /> PUBLIC RECORDS( RELEASE APPLICATION <br /> APPLICANT j-PAY 2�c< A ! [xfc�1/Kf`�'P4IONE NO r-Ilio q,2r1 -�(O(';1 <br /> ADDRESS I Q,3 'CnN r_on�_ C ISZc �Y�C \u ^y C—A q,5-6 5— <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> `-ten's amt 2"15 l;• Elcc-.,:� 1-+--F <br /> Mclian i r�+sk�e� �10 Fnie-r�5-e. Rd <br /> ( ff�7 v an Co IA,(o La tk 2.�. <br /> Fr� ��S 1-rob. Lam+ <br /> NkakAcrri 2YTZS N.'T&a<,j� -PAVA <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PU ��� I�TH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY#92-007,ORDINANCE�EIYI�Hi <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE V <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. OCT 1 8 1993 <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPVIN77�iElvlS'AREOIVISIU : <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THt ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <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 SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE Zb <br /> SIGNATURE OF RELEASING (OFFICIAL DATE <br /> E.II 00 14 (REV 12/92) <br /> r <br />