Laserfiche WebLink
00/061 <br />SAN JOAQUILN COUNTY MAR�tjgo0 <br />PUBLIC HEALTH SERvICFS ENVIROMAENTAL hcALTH <br />ENVIRONA=ENTAL HEALTH DIVISION PER;NIT SERVIC-S <br />PUBLIC RECORDS RELEASE APPLICATION <br />APP11CANT (1n�F�� die sl PHONE NO-_C91Cn}�[.6F-22cp <br />ADDRESS 3 CA <br />AGENCY NAM_ _k�rgZu, .t- ►?�fY a +e PHONE NO <br />ADDRESS <br />o T L EL -l - <br />V <br />�' 363 TtaS�>_ - E'3L'�RT 5q+, -ES K�{rRJI <br />w" <br />MAA 1� <br />THIS NOTICE IS SUBJECT TO THE REQUIR1 ,1UNTS LDENTIFIRD IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTALHEALTH DIVISION (MID) POLICY X92-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, SPATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF T -EN (10) PREMISE ADDRESSES PER REQUEST. <br />2. PUBLJC FILES/""RDs REVIEW ARE BY A$pQINT'MIM ONLY. APpOIIVTMENTs ARE <br />ARRANGED BY CALLING (209rt5H-03g0. OFFICE HOURS POR APPOINTMENTS ARE smEDULED <br />MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br />P.M. <br />3. A PUBLIC RECORDS RELEASE APPLICAUON AND A j• QK- &LMIN pABI$ DEPOSIT OF $75.00 <br />IS REQUIRED. DEPOSITS WILL EB RETURNED TO THE APPLICANT IF THE PILES/RECORDS ARE <br />NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br />4. TaE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br />CHARGE. THE BALANCE OF THE CfIARGES ARE DUE AND PAYABLE FRIG TO REVIEWMG THR <br />DOCUMEmp( <br />5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL, BE <br />CORRECTED BY THE HHD STAFF AT THE MCPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br />6. ORIGINAL PUBLIC FAXS/RECORDS SHALL NOT BE REMOVED PROM THE ERD PREMISES. <br />i <br />SIGNATURE OF APPLICANT <br />SIGNATURE OF RELEASING OFFICIAL, DATE 7-4— <br />EK 00 14 (REV 17192) <br />10/10 3978 WZVJN zzL6"59% 9060 000Z/70/E0 <br />