Laserfiche WebLink
FRDM = GEO-PHASE FNUIRUOITAL INC PI-f7NF 1.10. : 209 569 00 F02 <br />i1 <br />SAN J'OAQUIN CUi1MCY <br />PUBLIC HEALTH SERVIC9:9 <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT e' PHONE NOGsa�.3ADDRESSJ �rs�,A a -_-.. <br />AGENCY r r'�ortp �v�/ryp. PEIONE NO <br />ADDRESS _-- .._..-_— <br />•*rLitrrrt*rrrr*rtrr{*t* r a t r a. a r4 a.* i a i i** a ai r l a r r i+ r a r{* a W. a***4 <br />FULL ADDRESS muc�,r w.%s_.l jmrp/_ <br />l � <br />YY**W**WaW W*W a 1*ti ki t* *i4** <br />TL115 NOTICE IS [LIECT TOREOU EN NTIFIE IN <br />SERVICES/ENVI LTH D 1310 'OLI r <br />SAN JOAQUIN QUINT v 110 GAN SER NAPO - E L <br />GOVERNMENT COOS AND THE EVID CE CODE. <br />1- A MAXIMUM OF TEN J,j Oj PREMISE ADDRESSES PER REQUEST <br />E <br />PROGRAM OR <br />TYPE GE PILE <br />Y. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY, APPOINTMENTS ARE PROCESS- <br />ED BY CAN INO 1709148$•3420. OFF1Cit HOURS FOR APPOINTMENTS ARE SCHEOULF-D MONDAY <br />TNRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br />3. A PUBLIC FILES/RECOROS RELEASE APPLICATION IPRRAI IS REQUIRED. <br />.r <br />4. PUBLIC FILESIRECORbS NOT RETURNED IN THE SAME CONDI IIUN AS RECEIVED WILL RE <br />CORRECTED 13Y THE END STAFF AT THE EXPENSEgYK THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. ISEE END POLICY 94- 0071 <br />$. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT RE REMOVED FROM THE END PREMISES. <br />.........................._ .. ... .....,f. ............. <br />SIGNATURE OF APPLICANT D,AFE <br />SIGNATURE OF RELEASING OFFICIAL__ATE 1.Q_� <br />El 00 14 (REV 91901 <br />