Laserfiche WebLink
FRON : 6En-PHASE EHUIPn1*L. INC <br />PH141E lin. : ?n9 <br />5 0 Q%V <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL NEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT 2�cik wA o.✓ PHONE NO;W 9 5Zo f C,)a <br />ADDRESS "2937 tj2Ljt"7L7f?n/ A4rf�..!�B' RA's <br />AGENCY NAME -�! c H 0 PHONE NO 4� S - '��I ie] <br />ADDRESS 7 _ Ri3f3 SrOi.iL'[t®u +'JL 2 w .._.. <br />R.a//b.a•aaraaa•♦aa arasa aar as rata arr..it rRrrrrft r#rrr *i Rrttt rrirrr <br />PULL WDRESS BUSINESS NAME.L PROGRAM OR <br />FACILITX TYPE OF FILE <br />2$coTu2NPi/cr pgdD;rOc'LT l_us UST <br />29%6 7-uRd1�KE R0�16-.rrr.kt=�� 1c� rBI '•: s�•bv_lc! .C1USr <br />G9' 4Yo RO n_Smc*-Tp4lS...JYc {Ln�< �,rn U _•1 . 1 <br />zS5 s f"•-r'N M+�-�SoR/ �� �..rtoeJ�m...l '� // _ _ n / / <br />2 S`(m 7rR,/f/r.0 /rvhD Sr�cnhr alce/w � J'o +' /• ' / <br />►IPI ROADr1fe.Y�Ti�r,J .4 1?07�rA6� L/"a -S (. f S.�_ 3s- <br />S:t b' <br />Sa 1 TuIL <br />2 s59 ✓ yal-./r L A+-/ b IAL4- 4i t r <br />i rrrew wtwrrtwrwr<rr rrt tri ialrr//4ktrka Raa raR Ri rtrA4rarwtrarrra aar <br />IHIS NOTICE IS SUBJECT TO TIME REQUIREMENTS IDENTIFIED IN THE PUBLIC I ICALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHOI POLICY 194-007, ORDINANCE COOS OF <br />SAN JOAQUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1, A MAXIMUM OF TENls_01 TRCMISE ADDRESSES PER REQUEST <br />2, PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PRUCCSS- <br />ED BY CALLING (209 14 8 8-3 4 20. 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 f M. <br />3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRBD. <br />4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BC <br />CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE WILL BE BILLED TO THE APPLICANT FOR TAYMENT. ISEE EHD POLICY 04- 007) <br />5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOvCD FROM TIIE C1ID PRCMISCS. <br />......................................................aa,.a.............. <br />SIGNATURE 01' APPLICANT <br />SIGNATURE OF RELEASING OFFICIAL DALE <br />EH 00 14 (REV 91961 <br />