Laserfiche WebLink
SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> ENVTRONMLiVTAL XTEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> APPLICANT 1�,i( 1 I r ? PHONE NO(,909)5 1 -Js-71 <br /> ADDRESS Oak ,, ts— i r " 3S <br /> AGENCY NAME rptic4r,r r i £ E PHONE NO ,SQ w1_¢� <br /> ADDRESS .l:; rYL-cam <br /> 't + I rl otayl �cr' 1 v J. <br /> EUSADDRPS LEAD AG/E)N-C-Y DATE <br /> Lir1cr) n aL: i clt JCir l fills <br /> fin Ai, )Y1ni✓1 Sf - i f 91.4Co2 <br /> r r� N , n? I !✓I <br /> 7n Al, IYlrud7 'Tt, _ i' , Mkt -3 - L19a <br /> in N rYlni/1 St is / ,Y c + rczrrvuJ <br /> iviniti It, <br /> )l1ii;1 )' : "� iACi✓is "� ps'1 �CY <br /> I 5 f I12 Y1 S i- <br /> THLS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> 13LRVICES/FNVIRONMENTAL14EALT14 DIVISION(EHD)POLICY#92-009. ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE , <br /> ARRANGED BY CAVING (209)4680340. OFFICE HOURS FOR APPOIN'T'MENTS 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-UMMAgLADEPO5Tlr0$$79.00v "' <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF TIM FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FHB REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLEPDQ$TO REVIEWING TkW <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECITiD BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILI-ED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE ESD PREMISES. <br /> SIGNATURE OF APPLICANT r - i� ,� DATE <br /> J <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> o'd C65£TSST n1 WONd WUS£:TT £665-92-89 <br />