Laserfiche WebLink
JUI 00 14 (REV 5/94) %--0 SAN ,IOAQUIN COUNTY '-.1 <br /> I'UMAC I►EAL'I'II SERVICES <br /> ENVIRONMENTAL 11EAM'll DIVISION 76 / 13 31 <br /> PUBLIC RECORDS RELEASE APPLICA'T'ION �GJu� 3V <br /> APPLICANT / l i C `r/�e L ��c PHONE NU �/0 <br /> ADDRESS c2 U C 9Y i <br /> AGENCY NAME ' - ' PHONE NO 5//-S <br /> ADDRESS . ;L O F 2— cC'4 , <br /> PILE ADDRESS LEAD AGENCY DATE <br /> Ul <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMEN'T'S IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY N94-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF 'T'EN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. Pum.Ic FILrS/RrCORDS REVIEW Is BY APPOINTMENT ONLY. APPOINlT1EN'I"S ARE ARRANGED BY <br /> CALLING (209)469-0340. OFFICE HOURS FOR APPOINlmrN"rS ARE SCHEDULED MONDAY THRU FRIDAY <br /> EXCLUDING HOLIDAYS, 9:00 Ant TO 12:00 NOON AND L•00 PM ro 4:30 PM. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION (PRRA) IS REQUIRED. <br /> 4. I'HII-IC FILES/RECORDS NOT RETURNED IN TIM SAME CONDITION AS RECEIVED WILL BE CORRECI"131) <br /> BY 'rllE EHD S"I'ArF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO THE <br /> APPLICANT FOR PAYMENT. (SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE/REMOVED FROM TIIE EHD PREMISES. <br /> SIGNATURE OF APPLICANT 'aJ1«l� ��� / /— DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> NO 1'HS/EHD RECORDS/FILES ARE IDENTIFIED: <br /> Dnlx: Rmlmvvn•v. Nmincemw:Dem: <br /> PHS/EHD RECORDS/PILES EXIST ON THE ADDRFSS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> REICORDS/FILES ARE AVAILABLE FOR REVIEW,. <br /> Mm Rmamvno m Wmnenn<w Dnm: <br /> �� UCT 18 199 ' <br />