Laserfiche WebLink
-FROM : GED-FHpSc ENVIR' 94TRL INC PH7NE NO. 209 569 07 . . - P02 <br /> 3 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> E!'NIROi+MENTAL HEALTH IJZVISI <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT' . ,LaY�( PHONE NoO'Z�3 <br /> _ AUDRESS <br /> AGENCY �iAl�1K - .A�idr4i..ilsy rvr.n! ON <br /> B NO <br /> ADDRESS <br /> rifkR#wwtr* l **+a♦rii+tai**+iii++*r++srtarti*++t*tt tai} +ttawtxxtat <br /> FtIII ADDRESS HNRYNRSS NAME/ PROGRAM OR <br /> zAF�T1 a-{� TYPE OF FILE <br /> f,. N <br /> VHISNO;TICEI <br /> r+i . tttrr UBJECTTOTHEREQUIRE NTS IDCNTIFIED IN THE PUBLIC HEALTH <br /> /ENVIRONMENTAL HEALTH DIVISION IEHDI POLICY 894-007, ORDINANCE CODE OI° <br /> SAN JOAQ Y. D EE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CCO <br /> GOVERNME CODE AN EViD OD" <br /> 1. AMA UM OF Twiff PRE 1) _ PE14 OU <br /> _ 2. PUB FI ECORO$ VIE IS BY PO <br /> LY. 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 FILESIRECUR05 RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHL) STAFF AT THE EXpEN9E OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO IHE APPLICANT FOR PAYMENT. ISEE "mi ID POLICY 94 0071 <br /> S. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE E4D PREMISES. <br /> SIGNATVRE•Of APPLICANT •• • • •• •• DATE........................ <br /> Z/,V—Z - ••• •.• <br /> SIGNATURE OF RELEASING OFFICIA DATE <br /> � <br /> R °1 <br /> EH 00 14 IREV 9!961 <br />