Laserfiche WebLink
SAN JOAQUIN COUN'T'Y <br /> PUBLIC HEALTH SrRVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUDLIC RECORDS RELEASE APPLICATION <br /> � e✓tl Pa rt�t/1 PHONE NO 9fG 5-1 -2'q <br /> APPLICANT rc a�1�_ (o.���. Sac�4;,wu��� <br /> ADDRESS_ -lo Gc�1 Cwct✓ �a f S PIIOtiTE NO <br /> AGENCY NAME <br /> ADDRESS <br /> ####*#***####*# k##* k## k k k k# k*-k it k# k* k* k it k'k k k*it *# k k*** k k******#** k <br /> DUSI iESS NAME/ PROGRjv- 'I OR <br /> FULL ADDRESS FACILITY TYPE OF FILE <br /> � <br /> rt <br /> �e rule 'S � o(' Gas S �ra+�`/9 S Shan�s�a� SrKrn 9f zo(, �Q <br /> __ _c_ ' — s <br /> of — Gas <br /> 919 S fxK:sl.��� SFGfn °c"1fl� �L9�ltti G o( , <br /> C0.(t rn; s�c�rnrfS�o: Lie-tl_SL1 dc ora A,oma 35• zc� mi - Geri Ty�a�c <br /> 300 <br /> Scry,Ge � <br /> 19(C.d,, ry^.M.r+��t�rt'fo�co/k„tr <br /> (or <br /> dL�,,on A <br /> � �� S�Q JCCO✓1 <br /> C v a(pr,crr� -1c.+c <br /> � �3 �. $ !'f �m/rac�c� 5 �R7`'h 4S=y(a S�r,U«vh�t��`(wy �:�c• �— ,.� <br /> -'-fir— ., • - �+ t)$O K 5':�i��r A J S f-�-�l o�J <br /> 5'3S s Gehl-C -� <br /> k-k* k#* k# k k#-k k k*# k k*****# �:#* *# ,1 k k k* k k**#* k** k it k k*## k k <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIE--D !N THE PUBLIC UBLIC HEALTHAHEALTH <br /> SERVICESlENVIRCNMENTAL HEALTH DIV15l0N {CHOI POLICY #94-007, ORDI:\iANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1 . A MAXIMUM OF TEN ?0 PREMISE ADDRESSES PER REQUEST <br /> 2: PUBLIC FiLES/RECORDS REVIEW IS 3Y APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, £3:00 AM TO 12:00 NOON AND 1 :00 TO 4:30 PM. <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. 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. (SEE =IiJD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMCVED FROM THE EHO PREMISES. <br /> .. . . ........ ... . . <br /> .. . . . . . ........ ... ..... . ....� - j . . . .. ...... . . . <br /> SIGNATURE OF APPLICANT DATE 3 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />