Laserfiche WebLink
bQ-{R7 LJJJ lc• •' <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ,� 11 i? .i t <br /> r,�.d,w�� ^a�+tn��rA 11 Y(frkL'7+ ✓-�PEtONE NO –� —� — <br /> APPLIC � 1 — — <br /> ADDRESS Y PHONE NO ----- <br /> AGENCY NAME ---- <br /> ADDRESS <br /> BUSINESSuumm-B-L PR ant ;� <br /> FULL ADDRF� FACILITY TYRE of F:LI�1 <br /> , <br /> ++++++++++++*++www+++++wt+t+++++w++++++++++s++w+wwwwwwwwtw* r* t+ww <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 <br /> SAN JOAQUIN COUNTY. EHD FEE AND SERVICE GOVERNMENT CODE AND THE EVIDENCE CODE.CHARGE RESOLUTIONS, STATE WATEI'; CODE, <br /> 1. A MAXIMUM OF TEN L4! PREMISE ADDRESSES PER REQUEST <br /> NLYAPPOINTMENTS ARE P WCESS- <br /> 2- PUBLIC FILES/RECORDS.REVIEW IS BY APPOINTMENT O1 <br /> ED BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED 4ONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1.00 TO 4:30 PM <br /> 3. A PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED Wil L PIE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT, THIS ADDITION AL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007 t <br /> S. ORIGINAL PUBLIC FILES/RE ORDS SHALL NOT BE REMOVED FROM THE END PREMISES <br /> ..................... .�... ........ <br /> DATE <br /> SIGNATURE OF APPLICA I <br /> DATE—,�_._.. <br /> SIGNATURE OF RELEASI OFFICIAL –•-- <br /> EH 00 14 (REV 9/96) <br /> TU-AL P.01 <br />