Laserfiche WebLink
�„ r._ iC�K—C• f"'YI <br /> I SAN JOAQUIN COUNTY R <br /> PUBLIC HEALTH SERVICES <br /> - ENVIRONMENTAL HEALTH DIVISION <br /> i , <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PHONE NO 5 / O' � � O- 'jS�O <br /> � APPLICANT (ZAr1K_ „ � <br /> I P O <br /> ADDRESS o Y_�— <br /> � . PHONE NO ! <br /> AGENCY NAME <br /> ADDRESS <br /> t i <br /> BUSINESS NAME PROGRAM OE3 <br /> FULL ADDRESS TYPEOF FILE <br /> FACILITY <br /> j ' 16 1 S I-J ►�� s-� T2�� c n ; l iI <br /> f <br /> it = <br /> I, <br /> II I <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> I <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION iPOLICY 1194-007; ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY; EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE <br /> lit <br /> GOVERNMENT.CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN <br /> 110) PREMISE ADDRESSES PER REQUEST. k y, <br /> . A <br /> 7. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS <br /> ED BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM: <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION fPRRAI 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 EHD POLICY 94- 007) <br /> I 5. ORIGINAL PUBLIC FILESlREC SHALL NOT BE REMOVED FROM THE iPREMISES. I <br /> �s <br /> .................. .. .�. .. <br /> .......... <br /> ... ..... <br /> ..........! . <br /> SIGNATURE OF APPLICANT DATE <br /> � :. <br /> DATE ?? <br /> w' .. SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 14 IREV 91961 : <br /> lye s <br />