Laserfiche WebLink
1—'L/-1rFc�NVVWVI.Cv <br /> rB- oav <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> tPUBLIC RECORDS RELEASE APPLICATION <br /> op <br /> ADAT,LCANT WWII f` PHONE NO <br /> ADDRESS�L "CLOS Cd1 <br /> AGENCY NAM13 PHONE NO -r/L(l <br /> ADDRESS r— <br /> •rratr+rraawr+++arr+aaaara►► aratary►w+arr rrarrraa+aaa+ra+++rrraas <br /> FU.,LL AlliZgFS Bg7v NFtS NAMES PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> iz�c 4cot. <br /> i b <br /> (Z:? <br /> ZI I <br /> a <br /> ��aFg1Z ni �'•�� � rr 1) <br /> wrrwaraatrraaay a +awra rr+ar+ata+a.aaaraaaaaara+ar+raaaaaar♦+rraarrr <br /> THIS NOTICE IS SUBJECT TO THE REOUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHDI POLICY 994-007. ORDINANCE CODE OF <br /> _ SAN JOAOUIN COUNTY. EHD FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 .` A MAXIMUM OF IM LIQ PREMISE ADDRESSES PER REOUEST <br /> 2. PUBLIC FILESMR CORDS REVIEW IS BY APPOINTMENT ONLY• APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM' <br /> 3- A PUBLIC FILESIRECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> NT. THIS ADOM <br /> SCORRECTrD 13Y THE r=HD STAFF AT THE 5XPENSF*OF THE ERVICE WALL BE BILLED TO THE APPLICANT OR PAYMENT. (SEEE EHD POLICY 544- 007 AL <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ...................................... <br /> SIGNATURE OF APPLICANT y > DATE g� <br /> DATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 14 IREV 9/961 <br />