Laserfiche WebLink
• i <br /> SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SERVICES <br /> ENVUt0MVFCNTAL ILEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO�ao9)ssl <br /> ADDRESS 7 i 35 <br /> AGENCY NAME <br /> ADDRESS <br /> BIB ADDRESS LEAD A� DA7� <br /> r_ 3 S LirlcolYl G 1 '� t <br /> L5149L_ZVI 171/1 Irl ,S <br /> _420 Al, Mnjn _( OK- <br /> _ r - <br /> 7_ Al, jp/-jjjj <br /> � <br /> t . c, Lig ca <br /> _c , l k� 3 <br /> , ice !V YYl01/1 Si- In/ rri, l <br /> /)1('1J 'I <br /> rte— 1}1 ,:,,� !- � ,;, t3�. vnu :•; Cpy� lc>'' <br /> 11,`I, n 's " <br /> , I ;I , i ;ii � <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SURVICESIENVIRONMENTALHEALTH DIVISION(EHD)POLICYM-009,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, ERD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, . <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN 00) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FTLES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (709)468-0340. OFFICE HOURS FOR APPOIIJTMEM ARE SCHEDULED <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 APPLICATION AND A NON-U1WNDABf'9 DEFOS r0F <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 REVIEWING TkM <br /> DOCUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL. BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURB OF APPLICANT �i E - ° BATE <br /> SIGNATURE OF RELEASING OPFICIAL DATE <br /> EH 00 14 (REV 12/92) <br /> EO'd £65£TSS1 n1 WOa=f WUS£:TT £66T-92-89 <br />