Laserfiche WebLink
y i�zj Ill=GIE FR;< -551-3593 �IIE 2 <br /> SAN JOAQUAY COUNTY ^ <br /> MLIC AF�AILTS SERVICES <br /> MvvMONMffAL HEALTIT DIVISION <br /> ML TC RJECOPM8 RBS JWE APPI.ICAlION <br /> APPUQL r 1 MONg x <br /> AGENCY NAI*M <br /> A.�37RES8 '� PHONE NO <br /> EC.S ADDI W <br /> LEAD--AQ& C <br /> I� <br /> 0 75 <br /> � �* s�z �) <br /> 2TtLiS NOTICE IS svliTScr TO THH RBQUIREMBMS @ESD IN THE PUBLIC HEALTH <br /> 88RVICE&MN'VIRONMENTALHEAUg DIVISION{MW)POLICY M-W7.ORDINANCE CODE OF SAN <br /> IOAQXM COLINTY, EHD FEES AND SMEVIC33 CHARGE RESOLUTIONS, STATE WATMt CODE, <br /> GOVERNWNT CODE AND THE EVIDENCE COD& <br /> 1 I. A MAX]biUM OF TEN (10)1'REMSB AbDRMES pr REQUEST. <br /> 2. PUBLIC F3IEgrk8C0RDS REVIEW ARE BY ,�' 4NLY. APPOIN7MNIV ARE <br /> MONDA <br /> AJIt NZGED by CALLING (209)488-0340. OFMCS HOURS POR APPOP47MENI S ARE S`CUMULED <br /> Y THRU FRIDAY EXCLUDING HOLIDAYS, 8:40 A.M. TO 12:00 NOON AND 1:00 P.X TO 4:30 <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDAgL R DMIO=OF$78.00,,. <br /> IS REQUIRED. DEPOSITS WILL BE R97U NBD TO ME APPLICANT IF THE FIL&IRECORDS ARB <br /> NOT AVAILABLE WI R[N THE CUSPODY OF TRE EUD. <br /> 4• THE AAOrVE'DEN'nFDEPOSIT 13 APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. TBH BALANCE OF THE CHARGES ARE DUE T <br /> AND PAYABLE fig$ TO K�-WINC3IMDOCtM[ENT�. <br /> 5. "LIC F'IL&VRECORDS NOT REM40M IN ME SAAIH CONDITION AS RECMVI3U WILL IBE <br /> CORREM0 BY THE EM STAppCE VML 11HBILLED 1'O THEAAPPUCANT FTHE OR PAYMENT.OF TRg APPLICANT. 17US ADDITIONAL <br /> 6. ORIGINAL PUBLIC F 1MIRECORDS SHALL NOT BB REMOVED FROM'IHg MM.PREMISES. <br /> SIONATURE OF APPLICANT <br /> BATE ?a � <br /> SIGNATUIX OF RELEASING OfriaAL <br /> BH OO 14 (REV 12/92) DATE <br /> Z0"d E5S£TS5T Ql WONA WtiS2:Ti �o6T-Sz-BO <br /> .� r <br />