Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION C <br /> APPLICANT JOI1a �LoVEQ <br /> PHONE NO 516, 4Z6'Z6 / 0 <br /> ADDRESS IfS2��,aa�r W Bow 9019 PLEpSa^ rod ,c4 g4f6b <br /> PHONE NO <br /> AGENCY NAME <br /> ADDRESS <br /> FULL AQQRESS BUSINESS NAMEL PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> n ALL <br /> q00 S. 69CXK_Y/A-1 9OA0 Q E�SEQy10E �O. I�G.I'A LUST <br /> SSI E Leo, AvFI do, gfx <br /> P80 5 lie�+cMA I QaM0�� M�cl� r LUST <br /> Z13 'LcY 2r L - Ij14n Lu 5 i <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN (111 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING ULED <br /> THRU FR DAY EXCLUDING <br /> HOLRHOLIDAYS, B!0 AM TOI 2:00 NOON AND 1:00 TO 4 APPOINTMENTS ARE :30 PMMONDAY <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRA) IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE TIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT OR PAYMENT.SEE EHD POLICY 9PLICANT. THIS 4- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> . .......... . . ... ... .... ....... .... <br /> . .. . . . . ... . .. ...... . .... . . .. . . ... .. . . <br /> SIGNATURE OF APPLICANT <br /> • • DATE '7 /L PB <br /> SIGNATURE OF RELEASING 0 FICI <br /> vJ DATE <br /> EH 00 14 IR,EV 9/961 <br />