Laserfiche WebLink
_ caJ,Gn✓_. ; /-G`t11( -ice.__. <br /> 11/LJ�tl( -IVC-lO]J4 CAd LVtl-tl+�l-` - <br /> na.a u�rci.✓cn <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT $ tguli(.7CI�i�N PHONE NO (ZD,9)`% - ►3-45 <br /> ADDRESS A Wf,'__b -S7' S7ZC,!^ - CF- 957.(ls- <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> rrr*#a#++rtit#*tit#+trtttit*ri+trrttr*rrttrttr*+*a###ti+tt#r+trrr <br /> FULL ADDRESS 13USINESS NAME/ PROG W oR <br /> FACILITX TYPE OF FILE <br /> • g5oy.arm( k) -D - 'UIAILP A244Y DEfo-r' AGO z 9s'� zz t o -qt <br /> • 11 5. kAgj,�" An agftsabj roc iQYXSIAEw i Em ! ALI-, }1 r� <br /> ' l�[1C7 Rt?4fl �y [�Ra-rt2n L(.Yt1NwC.O. a«" <br /> IZ(g--V . K44AW_ 110OT�H Wr.. Lr_. <br /> t ANLfl 6 DMEBJ ►1800- 124,0 5. HAS ", Evtr ADVFj�EZ; OAJ''1 <br /> ♦(tilt#t tart*+#*irf t#*#tti+#**t##trot*###rittttt#tilt##**+#t*t** <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHDI POLICY #94-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN j10( PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (2091468-3410. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 11:00 NOON AND 1:00 TO 4:30 PM. <br /> J. A PUBLIC FILES/RECORDS RELEASE APPLICATION IPRRAI IS REQUIRED. <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHO STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHO POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILESMECO DS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ....................... . .......................�..f ... ........... <br /> SIGNATURE OF APPLICANT DATE .. <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br />