Laserfiche WebLink
,jAN JOAQUIi I COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT <br />ADDRESS E r <br />AGENCY NAME n <br />ADDRESS <br />FILE ADDRESS <br />5 / �5 <br />I L+�0-u t k- <br />7550 i Pa -0 -ems �3' <br />2570lk <br />5 <br />/ c:+-e4-s&YA A <br />PHONE NO <br />PHONE NO <br />-rs` <br />LEAD AGENCY DATE <br />THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY #94-007, ORDINANCE CODE OF SAN <br />JOAQUIN COUNTY, E14D FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br />GOVERNI INT CODE AND THE EVIDENCE CODE. <br />1. A MA.'Qivt JM OF TEN (10) PREMBE ADDRESSES PER REQUEST. <br />2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTIYMNTs ARE ARRANGED BY <br />CALLING (209)468-0340. OFFICE HOURS FOR APpourr,%IENTS ARE SCHEDULED MONDAY THRU FRIDAY <br />EXCLUDING HOLIDAYS, 3:00 AM TO 12:00 NOON AND 1:40 PM TO 4:30 P..q. <br />3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br />4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE CORRECTED <br />BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br />APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br />S. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMBES. <br />SIGNATURE OF APPLICANT DATE <br />4ZTl:NATTTT7F r1F RFT FA.¢TN(l OF171CTAT. DATE <br />No PHS/EHD REcoRDs/FiLEs ARE IDENTIFIED: <br />DA -m: Raw® sr. NarmcAnmf DAIS: <br />PHS/EIID RECORDS/FILES EXIST ON T -AE ADDRESS(ES) NOTr.D. YOU WILL BE NOTIFIED WHEN <br />RECORDS/FILES ARE AVAILABLE FOR REVIEW: <br />DATE: RsVMWM IT: ?Ryr77UnOf1 DATE: <br />