Laserfiche WebLink
SAN JOAQUIN COUNTY j <br /> I. PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVLSION II <br /> PUBLIC RECORDS RELEASE APPLICATION II <br /> APPLICANT S PHONE NO q 14o/ 1401-3 5'l o <br /> ADDRESS g z R T bAA+r- A <br /> AGENCY NAME NO <br /> ADDRESS <br /> 4' <br /> FILE ADDRE?S LEAD AGENCY } <br /> DATE . � 1i <br /> cprR F-r+ lie�� <br /> s C inl W � I, <br /> tl'y�.f7}A-w l_sH ��' R�wFllrfi:l'f <br /> 1y4R N. r—It7 o_ Sr- M51 6 fool j <br /> 3i5 <br /> Ni C-11L <br /> s <br /> 1 <br /> THJS NOTICE 15 SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION(EHD)POLICY#92.007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER`4CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. ; <br /> 2. PUBLIC FILMS/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS AVE SCHEDULED j <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 /> s j <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABIB DEPOSIT OF$78.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING TIIE p t <br /> DOCUMENT(S). <br /> 5. PUBLIC FILEVRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHI) STAIT AT TINE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHL) PREMISES. <br /> ja <br /> SIGNATURE OF APPLICANT TTi l�/lL�g3 E <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> Ell 00 14 (REV 12/92) <br /> Tn•J CTp�, �OOTCT _ -.. .nLJ Jn-.ten �p� _pT n ' <br />