Laserfiche WebLink
O—G I—1J.�J/ 4: I Ur I•I I Ki.ri.l •'SIiL •.v ca.r ...�..a .:.w � _ ��_ _. <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS REL EASE APPLICATION <br /> APPLICANT K e✓i n M c-K i b 6+h PHONE NO <br /> ADDRESS <br /> AGENCY NAvM voxcr (,•a Fnv)v6rl41•K7a1 PHONE IjO 95 6-0-26q <br /> ADDMS Iao3 W. Marcel Gvl jr- t )I "OCK10" <br /> �I•s i;�c� Baty Ig46 c„1.� n-.d.-d - <br /> Flx-E ADDRESS LEAD A EN Y DATE <br /> N0. 1 M. so” Jo.ytui SL, f47- ff tl 0r <br /> 437 E. H)n.r Vim. — �' <br /> 601 _nin+f <br /> 60 2y,Lc [i fern'A-54 <br /> 1 J <br /> 69 2. [IP MunI-v, <br /> AK4 6 . Par1S SC <br /> THUS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, FID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE, <br /> I. A MAXIMUM OF TEN (10) PRE1,0SE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (109)463-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> .MONDAY T14RU 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•REFU 'DABLE DEPOSIT OF 578.00 <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. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEMNG THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FJLES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. T141S ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SMALL NOT BE REMOVED FROM THE END PREMISES. <br /> SIGNATURE OF APPLICANT Iftlf DATE s=I'� <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> FN 00 14 (REV 12/92) <br />