Laserfiche WebLink
7 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT PHONE NO 9�FYj 'l`/Frj <br /> ADDRESS I{7_•� (-.A51 n `irZc 5i hTOCf UV G4 95�� <br /> AGENCY NAME {-Lra _.rte, PHONE NO <br /> ADDRESS <br /> J <br /> FULL ADDRESS BUSINESS NAME/ PROGRAM OR <br /> FACILITY TYPE 'OF FILE <br /> aL(. <br /> 1 ' FIR .6 TL� Lz <br /> E <rnr= I t D i%tib s«uz , <br /> 110Cn S• H ktt ani �, ��TAuSBN l�IDsS [titJE 1?4m1T5 Z <br /> T ti u M ZcJ <br /> ll Z?i MAR-�r t'-D }��}2.LA•,U N�l(aH Gtkz(. <br /> AOP <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY 1194-007, ORDINANCE CODE OF <br /> SAN JOAQUIN COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OF TEN 1101 PREMISE ADDRESSES PER REQUEST <br /> 2. PUBLIC FILES/RECORDS REVIEW IS BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> ED BY CALLING (209)468-3420. 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 /> 4 <br /> 3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRA) 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 /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> ........................ • • • / •••••aa•r•a•ar ♦♦ rr•rr r•rr• <br /> SIGNATURE OF APPLICANT /� DATE/g.7 <br /> SIGNATURE OF RELEASINGFFICIAL DATE <br /> EH 00 14 (REV 9/96) <br /> L u1cj 1 <br />