Laserfiche WebLink
11-21-1994 04:55PM FROM TO 15104208793 P.02 <br /> �J SAN JOAQUIN COUNTY j <br /> PUBLIC IIEALTI1 SF <br /> RVICF <br /> ENVIRONMENTAL HEALTH MINION ' <br /> PUBLIC RECORDS RELEASE APPLICATION a a <br /> APPLICANT 4r^ <br /> ADDRESS( PHONE NO S/o-6 <br /> y�S. � <br /> AGENCY AME PHONE NO <br /> ADDRESS <br /> SLE AMR= <br /> DATB <br /> O / r 1I <br /> e` r"�+ �1�i�l_ TG y �?t,u Lr' I <br /> / 4&2 .ti <br /> a37 � ( ..1 . C-�,,�.-� t /— ?15 OT & !9 <br /> Lt/ �^C c.' {r 1v �'c4 /�•v� �' �.�. l (/�d <br /> i T <br /> i <br /> 1 <br /> 'IRIS NOTIC IS SUWFCT TO THE R$QUIREMENTS IDENTIFIED IN THE PUBLIC Ht3Al#, <br /> S1:RVICI?SiE[oVIRONMENTALHEALI-H DIVISION(MID)POLICY#12-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, END FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATGR COD , <br /> GOVLRNME> T CODE AND THE EVIDENCE CODE. i <br /> I. A MA.`t]MUM OF TEN (10) PR13MISE ADDRESSES PER REQUEST. <br /> I <br /> 2. PUBLIC nLBS/RI3CORDS REVIEW ARE BY AXj'MEMON . APPOINTMENTS A�E <br /> ARRANGED OY CALLING (209)468-0340. OFFIC13 HOURS FOR. APPo INTM13NTS ARE SCHEDULEll <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> E <br /> 3. A PU UC.RECORDS RELEASE APPLICATION <br /> IS-R Q _ I�ES/1�EORD9 <br /> �� i <br /> 4. T+I @td'IYIU-DEP$S}F-IS-t1PPI�Ilr9 TOV�, DSI£-- 0'1' b-FIL-FS-R&YIEiV-I�88 <br /> C#It� >? ci +[11I RSES-AA a r, e N <br /> i I <br /> 5. P613 FILES/RECORDS NOT R1 IVRNED IN THE SAME CONDI'I3ON AS RECEIVED WILL I3B <br /> CORRECTED) Y THE ISHD STAFF AT THE EXPENSE OF THE APPLICANT, THIS ADDITIONAL <br /> SERVICE WILL B13 BILGED TO THE APPLICANT FOR PAYMENT. <br /> 6. 0111G1�AL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE END PREMISES <br /> SIGNATURE OF APPLICANT _ DATE Zzz `yc <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> J, I;II (pp 14 (RFV t2 )�a /i <br />