Laserfiche WebLink
- � �/ � �� /�e.v-car✓ <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTHSERVICES <br /> ENVIRONMEIN"TAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> I� �✓l/ L� r���f'z PHONE NO-91% <br /> APPLICANT <br /> ADDRESS �.�ro G ... G A�?� fviFc zs'o /`f0.-�� s ACr•A,,.,.K.4•� c qS' 33 <br /> AGENCY NAME PIIOti'E NO <br /> .ADDRESS <br /> *** k********** <br /> ** k********** lr kilr* k kkhkkk-kk# kkkkk kh i kf,* kk'k-k-k# �rkis kkA kk'k k*#*Yit*# FkIt <br /> FULL ADDRESS BUSINES5-. NAMEZ PROGRAM OR <br /> FACILITY TYPE OF FILE <br /> _ZlfR S Sf-m" � Us <br /> O S <br /> C rill c 0� 1Vlalr�rl Va �- Ora L �Gr � C^+ q..S 3�P�•�f..��1 <br /> (o W2 <br /> • '' 30o S. Ca mr �-�----- �1 S f <br /> (p� S. G tCirNlo. Sf•m 303 ozxrol Arr/i�.�{ r'€oltl�e <br /> f� <br /> Aa fiCRr� ,C✓iC• �i v s cC7f <br /> ! S ✓�' `� �.� xr n � � ��. ._,� � �-• Gad _s�a�r�� ,.� <br /> S"3S S• Gr r <br /> S16 <br /> 4E <br /> k-k#** k# kk'k -k **** k* f,'*#*#i k #**-k*#***'kxk-k <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION iEHD1 POLICY /194-007, ORDINANCE 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 LL01 PREMISE ADDRESSES PER REQUEST <br /> 2: PUBLIC FILESIRECOROS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> Ep BY CALLING 12091468-3420. OFFICE I-40URS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> ED B !CALLI EXCLUDING HOLIDAYS, 3:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM. <br /> i <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> 4. PUBLIC FILESIRECORDS 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 SILLSD TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> •i r i i i f !i i# 1 i#♦ I i# r i i+# • i a 1 ►� '►'i�f ♦ f i i#i i i i a###!♦ ♦#i#a##i i 4 1##4### <br /> SIGNATURE OF APPLICANT L OATE 3a <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (FEV 9/96) <br />